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KIDDOS THERAPY NPI 1568959179


NPI Information

NPI: 1568959179
Provider Name: KIDDOS THERAPY
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
915 W B ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 970-8351
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KIDDOS THERAPY is a developmental disabilities clinic center in Russellville, AR. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). KIDDOS THERAPY NPI is 1568959179. The provider is registered as an organization entity type.

The provider's business location address is:

915 W B ST
RUSSELLVILLE, AR
ZIP 72801-501
Phone: (479) 970-8351
Fax: (479) 567-5582

The provider's authorized official is Jodi Kusturin .
The authorized official title is Owner/director and has the following contact phone number (479) 970-8351.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 4/18/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes
2261QH0700XClinic/CenterHearing and SpeechNo
3261QP2000XClinic/CenterPhysical TherapyNo
4261QR0400XClinic/CenterRehabilitationNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.