Organization
KIDS FIRST PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY NICOLE MATTHEWS (COOWNER)
(931) 823-6136
Entity
Organization
Contact information
Practice address
502 W MAIN ST, LIVINGSTON, TN 38570-1718
(931) 823-6136
(931) 823-6138
Mailing address
502 W MAIN ST, LIVINGSTON, TN 38570-1718
(931) 823-6136
(931) 823-6138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057419
—
TN
Enumeration date
01/09/2018
Last updated
08/07/2023
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