# KIDS IN MOTION

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

## Provider details

- **NPI number:** 1063802114
- **Authorized official:** MARY HYDORN (PT)
- **Authorized official phone:** (248) 684-9610

## Contact information

- **Practice address:** 2636 S. MILFORD ROAD, HIGHLAND, MI 48357
- **Practice address phone:** (248) 684-9610
- **Mailing address:** 6281 MIDDLE LAKE ROAD, CLARKSTON, MI 48346
- **Mailing address phone:** (248) 202-7510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 5502004079 | MI | Yes |

## Other

- **Enumeration date:** 01/28/2015
- **Last updated:** 01/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22 | TAXONOMY | MI |