Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIDSPACE THERAPY, LLC
Active OrganizationKIDSPACE THERAPY, LLC is a Developmental Disabilities Clinic organization located in LONGVIEW, Washington. NPI 1184019184 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · LONGVIEW, WA
Registration Details
- NPI Number
- 1184019184
- Provider Type
- Organization
- NPI Issued
- Apr 6, 2015 (11.366562641558 yrs)
- Last Updated
- Jul 15, 2020
- Licenses
-
OT00001294 (WA)603464065 (WA)
Practice Information
- Address
-
2145 TIBBETTS DR STE ALONGVIEW, WA, 986324211Browse WA providers · Browse ZIP 98632
- Phone
- 3605601972
- Fax
- 3607033452
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
- Additional Specialty
- Developmental Disabilities Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.