Doctor Name: | MRS. KELLEY D LEWIS |
NPI Number: | 1184673493 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | PTA 942 |
Business Practice Address: | 27 Hwy 64 W Beebe, AR - 720122094 |
Business Phone Number: | 5018826660 |
Business Fax Number: | 5018829825 |
Mailing Address: | 130 Underhill Rd, BEEBE |
State: | AR |
Postal Code: | 720129751 |
Phone Number: | 5012303100 |
Fax Number: | 5018829825 |
NPI Enumeration Date: | 05/06/2006 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | PTA 942 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |