Healthcare Provider Details

I. General information

NPI: 1548688807
Provider Name (Legal Business Name): KS THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 01/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 MEMORIAL DR SUITE 302
HOUSTON TX
77007-8004
US

IV. Provider business mailing address

5900 MEMORIAL DR SUITE 302
HOUSTON TX
77007-8004
US

V. Phone/Fax

Practice location:
  • Phone: 832-588-7359
  • Fax: 855-482-9603
Mailing address:
  • Phone: 832-588-7359
  • Fax: 855-482-9603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number114578
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number114578
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number114578
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number114578
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number114578
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number114578
License Number StateTX

VIII. Authorized Official

Name: KATE SHNEYDER
Title or Position: OWNER
Credential: OTR/L, MOT
Phone: 832-588-7359