Provider Demographics
NPI:1891806964
Name:HEALTHQUEST MULTIDISCIPLINARY THERAPY AND REHABILITATION
Entity Type:Organization
Organization Name:HEALTHQUEST MULTIDISCIPLINARY THERAPY AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:CHEATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:870-299-2001
Mailing Address - Street 1:1515 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-3801
Mailing Address - Country:US
Mailing Address - Phone:870-234-2255
Mailing Address - Fax:870-234-2274
Practice Address - Street 1:1515 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-3801
Practice Address - Country:US
Practice Address - Phone:870-234-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1343225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty