Healthcare Provider Details

I. General information

NPI: 1326722463
Provider Name (Legal Business Name): KUDOS THERAPY & WELLNESS COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 WILKINSON DR
COLUMBIA SC
29229-6857
US

IV. Provider business mailing address

PO BOX 291313
COLUMBIA SC
29229-0022
US

V. Phone/Fax

Practice location:
  • Phone: 803-466-0004
  • Fax:
Mailing address:
  • Phone: 803-466-0004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA VOGLESON
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 803-466-0004