Individual provider · Type 1 NPI

Kim Annette Avery-Smith

Developmental Therapist · Rogers, AR

NPI number 1457094716 Active

Practice location

3307 N Dixieland Rd
Rogers, AR 72756-6816

Call (479) 986-5150 Map

Fax (479) 986-5191

Mailing address

PO Box 130
Rogers, AR 72757-0130

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1457094716

Kim Annette Avery-Smith's National Provider Identifier is 1457094716, issued on Apr 15, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rogers, AR. The record was last updated on Apr 15, 2022.