Kickstart Pediatric Therapy Llc

LBN: Kickstart Pediatric Therapy Llc
Kickstart Pediatric Therapy Llc is an health care organization with primary practice located at 2920 Glohaven Dr , Conway AR 72034-9656. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Kickstart Pediatric Therapy Llc can be contacted via phone (501) 733-6929, or through Smith, Deeann via phone (501) 472-4923.

Contact Information

Primary practice address
2920 Glohaven Dr Conway AR 72034-9656
Phone: (501) 733-6929
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Deeann MSPT
Phone: (501) 472-4923

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1679969216
LBN Legal business name Kickstart Pediatric Therapy Llc
DBA Doing business as
Authorized official Smith, Deeann MSPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2015
Last updated Apr 10th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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