IndividualActive
Angelia Kidwell, PTA
NPI 1265947154 · Physical Therapy Assistant · Monticello, AR
Provider details
- NPI number
- 1265947154
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA980 (AR)
Mailing address
207 N Farmville Rd
Hermitage, AR 71647-9390
Registry dates
- Enumerated
- 2017-12-13
- Last updated
- 2017-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.