Healthcare Provider Details

I. General information

NPI: 1649281577
Provider Name (Legal Business Name): CHILDREN'S THERAPY PLACE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S ALLUMBAUGH WAY
BOISE ID
83709-5658
US

IV. Provider business mailing address

101 S ALLUMBAUGH WAY
BOISE ID
83709-5658
US

V. Phone/Fax

Practice location:
  • Phone: 208-323-8888
  • Fax: 208-323-8889
Mailing address:
  • Phone: 208-323-8888
  • Fax: 208-323-8889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. SONDRA MCMINDES
Title or Position: PRESIDENT
Credential: MS, CCC
Phone: 208-323-8888