Kristen W. Latino, PTA
Individual provider Active NPI Physical Therapy Assistant · El Dorado, AR
NPI 1891039780 · NPPES record last updated Nov 16, 2012
Key facts
- NPI
- 1891039780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA 2691 (AR)
- Practice address
- 214 Hope Landing Rd
El Dorado, AR 71730-8725 - Phone
- (870) 862-0500
- NPI assigned
- Nov 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 2691 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Landing, Inc. | Physical Therapy Assistant | Past | Accepting new patients |
| Hope Landing, Inc. | Physical Therapy Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 2691 | AR | Yes |
Addresses
Primary practice location
214 Hope Landing Rd
El Dorado, AR 71730-8725
Mailing address
PO Box 10215
El Dorado, AR 71730-0045
Phone (870) 862-0500
Other providers in El Dorado, AR
- Ivory Amelia Kinslow
- Janis K Lacy
- Katherine Elizabeth Lain
- Heather Lambert
- Larry E Sipes DDS PA
- Laws Health Services, LLC
- Tamara Lynn Laws
- Cynthia Ann Lee
- Kathy Lee
- Stefanie Ann Lee
All providers in El Dorado, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.