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

Miracle Kids Success Academy of Trumann

Organization Physical Therapist · NPI 1063979243

Miracle Kids Success Academy of Trumann is a Physical Therapist in Trumann, Arkansas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1005 Balcom Ln
Trumann, AR 72472-9502
Phone: (870) 761-6680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1063979243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Keller — Ceo · (870) 761-6680
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019
Mailing address1900 Stillwater Dr, Jonesboro, AR 72404-9119

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