# KALEIDOSCOPE PEDIATRIC THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1154693364
- **Authorized official:** DR. KATIE ROWE PT, DPT (OWNER)
- **Authorized official phone:** (208) 375-4200

## Contact information

- **Practice address:** 7211 W FRANKLIN RD, BOISE, ID 83709-0926
- **Practice address phone:** (208) 375-4200
- **Practice address fax:** (208) 375-4201
- **Mailing address:** 7211 W FRANKLIN RD, BOISE, ID 83709-0926
- **Mailing address phone:** (208) 375-4200
- **Mailing address fax:** (208) 375-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT-1860 | ID | — |
| 225X00000X | Occupational Therapist | OT-709 | ID | Yes |
| 235Z00000X | Speech-Language Pathologist | SLP-1992 | ID | — |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 02/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1083876916 | — | ID |
| 05 | — | 1124199443 | — | ID |
| 05 | — | 1881962538 | — | ID |