Whalio Doctors

NPI 1235654468

Jaden Kinney, PTA

Practitioner Physical Therapy Assistant North Little Rock, AR

Practice location

Address
4801 Fairway Ave, North Little Rock, AR 72116
Phone
(501) 758-1300
Fax
(501) 758-1316
Mailing address
4801 Fairway Ave, North Little Rock, AR 72116-8009

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA4199 (AR)

Registry record

NPI
1235654468
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Aug 2017
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.