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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN ELAINE HUMPHREY, PTA

Active Sole Proprietor

KATHLEEN ELAINE HUMPHREY, PTA is a Occupational Therapist healthcare provider located in BENTON, Arkansas. NPI 1477199586 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BENTON, AR

Registration Details

NPI Number
1477199586
Provider Type
Individual
Gender
Female
NPI Issued
Nov 24, 2019 (6.6778204105123 yrs)
Last Updated
Nov 24, 2019
License
4482 (AR)
Sole Proprietor
Yes

Practice Information

Address
17706 INTERSTATE 30 N STE 3
BENTON, AR, 720192930
Browse AR providers · Browse ZIP 72019
Phone
5013154414
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in BENTON, AR

Name Credential NPI
MRS. WILLA JOYCE OLDS LPTA 1518927896
ANGELA BETH GRAY PTA 1477510105
MRS. SUZANNE WALKER PTA 1023162435
EMILY SMITH PTA 1952449670
MRS. ANJANETTE LEE GUTHRIE PTA 1598808362
MRS. TIFFANY SMITH PTA 1124162631
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.