Individual provider · Type 1 NPI

Alexa Kylyn Michelle Good, OTS

Student in an Organized Health Care Education/Training Program · Fort Smith, AR

NPI number 1104638584 Active

Practice location

7006 Chad Colley Blvd
Fort Smith, AR 72916-6024

Call (479) 401-6013 Map

Mailing address

5900 Kinkead Ave Apt 235
Fort Smith, AR 72903-1507

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104638584

Alexa Kylyn Michelle Good, OTS's National Provider Identifier is 1104638584, issued on Jan 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Smith, AR. The record was last updated on Jan 23, 2025.