Individual provider · Type 1 NPI

Jaqueline Mondragon, PT, DPT

Physical Therapist · Lake Village, AR

NPI number 1154260800 Active

Practice location

2729 S Highway 65 82
Lake Village, AR 71653-6136

Mailing address

1103 Sunnyside Rd
Lake Village, AR 71653-6111

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X5772 (AR)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1154260800

Jaqueline Mondragon, PT, DPT's National Provider Identifier is 1154260800, issued on Mar 27, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Lake Village, AR. The record was last updated on Mar 27, 2026.