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Organization
FUNCTIONAL KIDS, PLLC
Active
Organization
FUNCTIONAL KIDS, PLLC
Active
Other names
Functional Kids Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FLUTH OTR/L (OCCUPATIONAL THERAPIST)
(605) 359-3827
Entity
Organization
Contact information
Practice address
3000 E JACKSON ST, SIOUX FALLS, SD 57108
(605) 759-8466
(605) 231-4362
Mailing address
3000 E JACKSON ST, SIOUX FALLS, SD 57108
(605) 759-8466
(605) 231-4362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022155
—
SD
Enumeration date
11/09/2020
Last updated
04/08/2025
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