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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KICK START

Active Organization

KICK START is a Occupational Therapist organization located in NORTHFIELD, Illinois. NPI 1508154212 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · NORTHFIELD, IL

Registration Details

NPI Number
1508154212
Provider Type
Organization
NPI Issued
Jul 14, 2011 (15.088808398293 yrs)
Last Updated
Jun 15, 2012
Licenses
056002913 (IL)
056007907 (IL)

Practice Information

Address
1845 OAK ST
SUITE 15
NORTHFIELD, IL, 600933022
Browse IL providers · Browse ZIP 60093
Phone
8473866560
Fax
8474236701
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist
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.