Provider Demographics
NPI:1295372282
Name:BRIAN KENT DPT PLLC
Entity Type:Organization
Organization Name:BRIAN KENT DPT PLLC
Other - Org Name:OPTIMAL THERAPY OF NWA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:501-231-3821
Mailing Address - Street 1:3612 W SOUTHERN HILLS BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8231
Mailing Address - Country:US
Mailing Address - Phone:479-621-8008
Mailing Address - Fax:479-755-9993
Practice Address - Street 1:3612 W SOUTHERN HILLS BLVD STE 6
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8231
Practice Address - Country:US
Practice Address - Phone:501-231-3821
Practice Address - Fax:479-755-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy