INTERACTIVE THERAPY SERVICES INC. NPI 1215024468

NPI Information

  • NPI: 1215024468
  • Provider Name: INTERACTIVE THERAPY SERVICES, INC.
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Doing Business As: FUNCTIONAL KIDS
  • Address: 2495 MAPLEWOOD DR STE 313
    MAPLEWOOD, MN
    ZIP 55109
  • Phone: (651) 770-8884

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NPI Details

INTERACTIVE THERAPY SERVICES, INC. is a speech language pathologist in Maplewood, MN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. INTERACTIVE THERAPY SERVICES, INC. NPI is 1215024468. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Functional Kids.

The provider's business location address is:

2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN
ZIP 55109-913
Phone: (651) 770-8884

The provider's authorized official is Julie Ernest .
The authorized official title is Owner and has the following contact phone number (651) 770-8884.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 3/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist6402MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14600382OTHERMINNESOTAMEDICA
254M22INOTHERMINNESOTABLUE CROSS BLUE SHEILD
375-732OTHERMINNESOTAHEALTH PARTNERS
4J033OTHERMINNESOTAU CARE
54600382OTHERMINNESOTACBSA

What is NPI?

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This page was last updated on: 11/21/2025

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