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Organization

KIDS IN MOTION PHYSICAL THERAPY, PC

Active
Other names
Total Physical Therapy, All About Kids Pediatric Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACI D SCHMIDT PT (PRESIDENT)
(208) 255-6693
Entity
Organization

Contact information

Practice address
110 TIBBETTS DR STE 123, PONDERAY, ID 83852-9812
(208) 255-7337
(208) 561-9705
Mailing address
1221 MICHIGAN ST, SANDPOINT, ID 83864-1745
(208) 255-6693
(208) 265-0875

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
225100000X
Physical Therapist
2251P0200X
Pediatric Physical Therapist
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807409400
ID
01
9974
BLUE CROSS
ID
Enumeration date
10/03/2006
Last updated
08/16/2023
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