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Organization
KINETIC KICKOFF LLC
Active
Organization
KINETIC KICKOFF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIZIA I FARAJ (MANAGER)
(305) 342-0327
Entity
Organization
Contact information
Practice address
275 NW 33RD AVE, MIAMI, FL 33125-4924
(305) 342-0327
Mailing address
275 NW 33RD AVE, MIAMI, FL 33125-4924
(305) 342-0327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
221700000X
Art Therapist
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122714900
—
FL
Enumeration date
02/26/2024
Last updated
08/13/2026
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