Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kickstart Pediatric Therapy LLC

Organization Developmental Therapist · NPI 1679969216

Kickstart Pediatric Therapy LLC is a Developmental Therapist in Conway, Arkansas. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2920 Glohaven Dr
Conway, AR 72034-9656
Phone: (501) 733-6929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Developmental Therapist Taxonomy 222Q00000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1679969216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deeann Smith — Physical Therapist · (501) 472-4923
NPI enumeratedApril 10, 2015
Last updated in NPPESApril 10, 2015
Mailing address2920 Glohaven Dr, Conway, AR 72034-9656

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