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Organization
PERFECT FIT FOUNDATION OF SWK LLC
Active
Organization
PERFECT FIT FOUNDATION OF SWK LLC
Active
Parent organization
PERFECT FIT FOUNDATION OF SWK LLC
Other names
Perfect Fit Therapy Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERFECT FIT FOUNDATION OF SWK LLC
Authorized official
TRISTA FERGERSON (DIRECTOR OF OPERATIONS)
(513) 490-3643
Entity
Organization
Contact information
Practice address
2603 CENTRAL AVE, DODGE CITY, KS 67801-6210
(620) 253-2920
(620) 371-6570
Mailing address
PO BOX 1884, DODGE CITY, KS 67801-1884
(620) 253-2920
(620) 371-6570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201329860A
—
KS
Enumeration date
09/21/2020
Last updated
07/28/2021
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