# KIDDOS THERAPY

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

## Provider details

- **NPI number:** 1568959179
- **Authorized official:** JODI CABANESS PT (OWNER/DIRECTOR)
- **Authorized official phone:** (479) 970-8351

## Contact information

- **Practice address:** 7411 ELLIS ST STE 200, FORT SMITH, AR 72916-6106
- **Practice address phone:** (479) 242-3414
- **Practice address fax:** (479) 242-3415
- **Mailing address:** 7411 ELLIS ST STE 200, FORT SMITH, AR 72916-6106
- **Mailing address phone:** (479) 242-3414
- **Mailing address fax:** (479) 242-3415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 06/20/2024