Provider Demographics
NPI:1780920298
Name:THERAPY LINKS
Entity type:Organization
Organization Name:THERAPY LINKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANEE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HUBBLE
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:870-761-7438
Mailing Address - Street 1:4504 KALLI DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-8091
Mailing Address - Country:US
Mailing Address - Phone:870-761-7438
Mailing Address - Fax:870-275-7718
Practice Address - Street 1:4504 KALLI DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-8091
Practice Address - Country:US
Practice Address - Phone:870-761-7438
Practice Address - Fax:870-275-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR261QP2000X261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy