# KIDS CARE PEDIATRIC THERAPIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kids Care Pediatric Therapies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609330372
- **Authorized official:** MRS. AMANDA K HARDIN LMT (OWNER)
- **Authorized official phone:** (417) 812-5031

## Contact information

- **Practice address:** 1441 E KEARNEY ST, SPRINGFIELD, MO 65803-4101
- **Practice address phone:** (417) 812-5031
- **Mailing address:** 1441 E KEARNEY ST, SPRINGFIELD, MO 65803-4101
- **Mailing address phone:** (417) 812-5031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 01/28/2019
- **Last updated:** 11/12/2020