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NPI Code Detail

MEDICARE: K'S THERAPIES, LLC

MEDICARE: K'S THERAPIES, LLC
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841849932
Entity Type Code : Organization
Provider Name (Legal Business Name) : K'S THERAPIES, LLC
Provider Business Mailing Address
First Line : 3762 ROCKDALE FELLOWSHIP RD
Second Line :
City : MT JULIET
State : TN
Zip : 37122-7733
Country : US
Telephone Number : 615-500-6554
Fax Number :
Provider Business Practice Location Address
First Line : 10579 CEDAR GROVE RD STE 120
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8385
Country : US
Telephone Number : 615-500-6554
Fax Number : 615-469-4321
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : JONATHAN GOAD
Credential :
Telephone Number : 615-653-8360
Provider Enumeration Date : 09/10/2019
Last Update Date : 01/09/2022

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Directions to “K'S THERAPIES, LLC ” Practice Location

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