Organization
AMAZING KIDS LLC
Active
Organization
AMAZING KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MICHELLE HERTEL OTR (OWNER)
(814) 715-5738
Entity
Organization
Contact information
Practice address
54 MARLIN ST, BROOKVILLE, PA 15825-1016
(814) 715-5738
Mailing address
54 MARLIN ST, BROOKVILLE, PA 15825-1016
(814) 715-5738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006656L
PA
225X00000X
Occupational Therapist
OC006801L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014774800001
MEDICAL ASSISTANCE
PA
Enumeration date
03/27/2007
Last updated
09/18/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up