Organization
KENAI KIDS THERAPY INC
Active
Organization
KENAI KIDS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA L REISCHACH (TREASURER, SECRETARY)
(907) 776-5784
Entity
Organization
Contact information
Practice address
150 N WILLOW ST STE 15, KENAI, AK 99611-9109
(907) 283-2765
(907) 283-2765
Mailing address
48584 DEBRA CIR, KENAI, AK 99611-9436
(907) 776-5784
(907) 776-5786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
911
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT5625
—
AK
05
—
PT5626
—
AK
Enumeration date
02/27/2007
Last updated
08/22/2020
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