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EQUESTRIAN ZONE NPI 1912494527


NPI Information

NPI: 1912494527
Provider Name: EQUESTRIAN ZONE
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
4800 S FRANKFORT AVE
RUSSELLVILLE, AR
ZIP 72802
Phone: (479) 970-8351
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EQUESTRIAN ZONE is a developmental disabilities clinic center in Russellville, AR. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). EQUESTRIAN ZONE NPI is 1912494527. The provider is registered as an organization entity type.

The provider's business location address is:

4800 S FRANKFORT AVE
RUSSELLVILLE, AR
ZIP 72802-823
Phone: (479) 970-8351
Fax: (479) 967-1178

The provider's authorized official is Jodi Kusturin .
The authorized official title is Director and has the following contact phone number (479) 970-8351.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 4/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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