Provider Demographics
NPI:1073014973
Name:CRAIN, HANNAH ASHLEY
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ASHLEY
Last Name:CRAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ASHLEY
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1635 HIGDON FERRY RD STE G
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6904
Mailing Address - Country:US
Mailing Address - Phone:501-525-2273
Mailing Address - Fax:501-525-1773
Practice Address - Street 1:110 ESTE WAY
Practice Address - Street 2:SUITE 3
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909
Practice Address - Country:US
Practice Address - Phone:501-525-2273
Practice Address - Fax:501-525-1773
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AR5236225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program