# SENSATIONAL KIDS PHYSICAL, OCCUPATIONAL & SPEECH THERAPY SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sensational Kids, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730310582
- **Authorized official:** MRS. KRISTIE KREIS PT (CO OWNER)
- **Authorized official phone:** (607) 725-9644

## Contact information

- **Practice address:** 87 ELLIS CREEK RD, WAVERLY, NY 14892-9540
- **Practice address phone:** (607) 948-4047
- **Practice address fax:** (607) 948-4097
- **Mailing address:** 87 ELLIS CREEK RD, WAVERLY, NY 14892-9540
- **Mailing address phone:** (607) 948-4047
- **Mailing address fax:** (607) 948-4097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 023247 | NY | Yes |
| 252Y00000X | Early Intervention Provider Agency | 11909 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 13075 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 13415 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 16366 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 17259 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 17452 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 29578 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 40581 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 7215 | NY | — |

## Other

- **Enumeration date:** 07/28/2009
- **Last updated:** 07/28/2009