NPIMap

Jonesboro Pediatric Therapy, Inc.

Organization Active NPI Speech-Language Pathologist · Bono, AR

NPI 1609490671 · NPPES record last updated Jun 4, 2020

Key facts

NPI
1609490671
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
JONESBORO PEDIATRIC THERAPY, INC.
Practice address
948 County Road 113
Bono, AR 72416-8299
Phone
(870) 219-5534
NPI assigned
Jun 4, 2020
Organization subpart
No

Authorized official

Name
Krystal Lori Jordan, MCD, CCC-SLP NPI 1689868655
Title
President
Phone
(870) 219-5534

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X Yes

Addresses

Primary practice location

948 County Road 113
Bono, AR 72416-8299

Mailing address

948 County Road 113
Bono, AR 72416-8299
Phone (870) 219-5534

Other providers in Bono, AR

All providers in Bono, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.