Provider Demographics
NPI:1245108448
Name:KUNKEL MICKLE, BRITTANY ELIZABETH (OTD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:KUNKEL MICKLE
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:KUNKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2475
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72654-2475
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 HIGHWAY 62 412 STE 75J
Practice Address - Street 2:
Practice Address - City:ASH FLAT
Practice Address - State:AR
Practice Address - Zip Code:72513-9594
Practice Address - Country:US
Practice Address - Phone:870-705-4021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist