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Organization
KIDS CARE PEDIATRIC THERAPIES
Active
Organization
KIDS CARE PEDIATRIC THERAPIES
Active
Other names
Kids Care Pediatric Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA K HARDIN LMT (OWNER)
(417) 812-5031
Entity
Organization
Contact information
Practice address
1441 E KEARNEY ST, SPRINGFIELD, MO 65803-4101
(417) 812-5031
Mailing address
1441 E KEARNEY ST, SPRINGFIELD, MO 65803-4101
(417) 812-5031
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
NULL
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/28/2019
Last updated
11/12/2020
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