Provider Demographics
NPI:1295536175
Name:CAREY, MARILYN ANN (LMT)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:ANN
Last Name:CAREY
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PALMA LN
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-5315
Mailing Address - Country:US
Mailing Address - Phone:682-320-1163
Mailing Address - Fax:
Practice Address - Street 1:412 PONCE DE LEON DR
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-8121
Practice Address - Country:US
Practice Address - Phone:501-915-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9255225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist