# PHYSICAL THERAPY FOR KIDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013240175
- **Authorized official:** DR. SHARON SKIDMORE P.T., D.P.T. (OWNER)
- **Authorized official phone:** (907) 346-4096

## Contact information

- **Practice address:** 1109 N FOREST EDGE DR, SISTERS, OR 97759-2692
- **Practice address phone:** (907) 346-4096
- **Practice address fax:** (877) 319-7365
- **Mailing address:** PO BOX 1475, SISTERS, OR 97759-1475
- **Mailing address phone:** (907) 346-4096
- **Mailing address fax:** (907) 346-4097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 783 | AK | — |
| 2251P0200X | Pediatric Physical Therapist | 783 | AK | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 06/22/2021