Organization
KIDSTLC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THOMAS (CFO)
(913) 324-3681
Entity
Organization
Contact information
Practice address
620 S ROGERS RD, OLATHE, KS 66062-1704
(913) 324-3823
(913) 780-3387
Mailing address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 324-3636
(913) 780-3387
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
07/15/2021
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