Healthcare Provider Details

I. General information

NPI: 1174276406
Provider Name (Legal Business Name): K KIDS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 S MAIN ST STE C
LINDALE TX
75771-7854
US

IV. Provider business mailing address

PO BOX 2350
LINDALE TX
75771-2350
US

V. Phone/Fax

Practice location:
  • Phone: 903-780-6596
  • Fax: 903-881-6010
Mailing address:
  • Phone: 903-780-6596
  • Fax: 844-832-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: RHONDA JILL KIRKPATRICK
Title or Position: OWNER/ CLINICIAN
Credential: OTR
Phone: 903-780-6596