OrganizationActive
Elite Therapy and Wellness
NPI 1679071302 · Physical Therapy Clinic/Center · Imboden, AR
Provider details
- NPI number
- 1679071302
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Holli Lillard, Owner
- License
- PT2712 (AR)
Practice location
5552 US Hwy 63
Suite B
Imboden, AR 72434
Phone: (870) 869-2770
Fax: (870) 869-7221
Mailing address
Po Box 334
Imboden, AR 72434-0334
Registry dates
- Enumerated
- 2018-01-29
- Last updated
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.