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Organization

KIDSPOT PHYSICAL THERAPY LLC

Active
Other names
KidSPOT Pediatric Therapies
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA FUENTES PT, DPT (FOUNDER, OWNER, PT)
(303) 604-6441
Entity
Organization

Contact information

Practice address
165 MCCASLIN BLVD., SUITE B, LOUISVILLE, CO 80027
(303) 604-6441
(303) 957-1955
Mailing address
165 MCCASLIN BLVD., SUITE B, LOUISVILLE, CO 80027
(303) 604-6441
(303) 957-1955

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99978245
CO
Enumeration date
06/25/2008
Last updated
07/31/2020
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