Organization
THE KIDS SPOT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER HOUK MS, CCC-SLP (CO-OWNER)
(270) 465-7768
Entity
Organization
Contact information
Practice address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
(270) 465-0068
Mailing address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
(270) 465-0068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A5951
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A5951
LICENSE NUMBER
KY
Enumeration date
07/21/2014
Last updated
07/21/2014
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