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

Miracle Kids Success Academy Central

Organization Occupational Therapy Assistant · NPI 1174234322

Miracle Kids Success Academy Central is an Occupational Therapy Assistant in Jonesboro, Arkansas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5

Practice location Address checks out

1607 Stone St
Jonesboro, AR 72401-5332
Phone: (870) 336-4100
Fax: (877) 769-1668
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1174234322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Keller — Ceo · (870) 336-8100
NPI enumeratedDecember 8, 2022
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address3127 Southwest Dr Ste A, Jonesboro, AR 72404-8404

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