# KIDS THAT CAN

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

## Provider details

- **NPI number:** 1013352111
- **Authorized official:** MR. SCOTT NYE (BUSINESS MANAGER)
- **Authorized official phone:** (678) 632-6765

## Contact information

- **Practice address:** 1130 SENOIA ROAD, SUITE A1, TYRONE, GA 30290-1640
- **Practice address phone:** (678) 632-6765
- **Practice address fax:** (678) 550-7931
- **Mailing address:** 1130 SENOIA ROAD, SUITE A1, TYRONE, GA 30290-1640
- **Mailing address phone:** (678) 632-6765
- **Mailing address fax:** (678) 550-7931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 11/02/2016