Healthcare Provider Details

I. General information

NPI: 1659286524
Provider Name (Legal Business Name): KICKS & GIGGLES THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4E-4-4 ESTATE HULL BAY
ST. THOMAS VI
00801
US

IV. Provider business mailing address

PO BOX 7893
ST THOMAS VI
00801-0893
US

V. Phone/Fax

Practice location:
  • Phone: 712-541-5905
  • Fax:
Mailing address:
  • Phone: 712-541-5905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SCHWARTZ
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTD
Phone: 712-541-5905