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NPI Code Detail

MEDICARE: KIWI SPOT THERAPY

MEDICARE: KIWI SPOT THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1700718673
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIWI SPOT THERAPY
Provider Business Mailing Address
First Line : 2524 SHERWOOD RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43209-2154
Country : US
Telephone Number : 917-846-6193
Fax Number :
Provider Business Practice Location Address
First Line : 2524 SHERWOOD RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43209-2154
Country : US
Telephone Number : 917-846-6193
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : MORDY CUKIER
Credential :
Telephone Number : 917-846-6193
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “KIWI SPOT THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.