# KIDWORKS, LLC

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

## Provider details

- **NPI number:** 1033295472
- **Authorized official:** CYNTHIA S MANGAN (CEO)
- **Authorized official phone:** (219) 983-9675

## Contact information

- **Practice address:** 1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
- **Practice address phone:** (219) 916-4960
- **Practice address fax:** (219) 764-2751
- **Mailing address:** 1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
- **Mailing address phone:** (219) 983-9675
- **Mailing address fax:** (219) 983-9681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | 32001204A | IN | — |
| 225100000X | Physical Therapist | 05008714A | IN | — |
| 225200000X | Physical Therapy Assistant | 06003228A | IN | — |
| 225X00000X | Occupational Therapist | 31003944A | IN | Yes |
| 235Z00000X | Speech-Language Pathologist | 22003689A | IN | — |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 04/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200815860 | — | IN |