Organization
CHILDREN'S THERAPY CENTER, INC
Active
Parent organization
KELLY SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELLY SERVICES INC
Authorized official
CHERYL HAIBACH (PRACTICE LEADER)
(412) 585-0313
Entity
Organization
Contact information
Practice address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
Mailing address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
(651) 994-9644
(651) 994-8962
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043755700
—
MN
01
—
105647
HEALTHPARTNERS
MN
01
—
521091043137
PREFERRED ONE
MN
01
—
7610098
AETNA
MN
01
—
960S0CH
BLUE CROSS OCCUPATIONAL T
MN
01
—
962S7CH
BLUE CROSS SPEECH THERAPY
MN
01
—
965S5CH
BLUE CROSS PHYSICAL THERA
MN
Enumeration date
11/20/2006
Last updated
04/29/2026
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