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Organization

KINETIC KICKOFF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRIZIA I FARAJ (MANAGER)
(305) 606-3540
Entity
Organization

Contact information

Practice address
1810 W KENNEDY BLVD, TAMPA, FL 33606-1645
(305) 342-0327
Mailing address
275 NW 33RD AVE, MIAMI, FL 33125-4924
(305) 606-3540

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
221700000X
Art Therapist
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
225100000X
Physical Therapist
2251P0200X
Pediatric Physical Therapist
225A00000X
Music Therapist
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XG0600X
Gerontology Occupational Therapist
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
02/26/2024
Last updated
06/03/2025
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