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Organization

KIDS EXPRESS THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALYSSA CANNON CONGER M.S. CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(615) 812-3701
Entity
Organization

Contact information

Practice address
110 W MARKET ST, SMITHVILLE, TN 37166-1726
(615) 697-3442
Mailing address
1027 HOLIDAY HAVEN RD, SMITHVILLE, TN 37166-7506
(615) 697-3442
(615) 930-0036

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106E00000X
Assistant Behavior Analyst
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
12/20/2020
Last updated
03/09/2021
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