Organization
KENAI KIDS THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA REISCHACH (OWNER)
(907) 260-7444
Entity
Organization
Contact information
Practice address
48584 DEBRA CIR, KENAI, AK 99611-9436
(907) 776-5784
(907) 776-5786
Mailing address
35105 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7658
(907) 260-7444
(907) 260-7400
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34
AK
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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