Organization
KIDZSPOT PEDIATRIC THERAPY-EAST VALLEY
Active
Other names
KidzSPOT Pediatric Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY WARKENTIN (OWNER)
(480) 900-6572
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD STE 112, MESA, AZ 85206-4674
(480) 900-6572
Mailing address
4838 E BASELINE RD STE 112, MESA, AZ 85206-4674
(480) 900-6572
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
—
456112
—
AZ
Enumeration date
12/29/2006
Last updated
10/24/2025
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