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

Kidsource Therapy

Organization Physical Therapist · NPI 1760443220

Kidsource Therapy is a Physical Therapist in Benton, Arkansas. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

17706 I-30 Ste 3
Benton, AR 72015
Phone: (501) 315-4414
Fax: (501) 315-3467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1760443220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corey Tinkle — Ms Pt Vp · (501) 315-4415
NPI enumeratedMarch 31, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address17706 I-30, Ste 3, Benton, AR 72015

Other providers in Benton