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NPI 1396658811

NPI 1396658811 : METHOD PEDIATRIC THERAPY AND WELLNESS, LLC : PRAIRIE VILLAGE, KS

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General NPI Number Information
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    NPI Number           |    1396658811
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    Entity Type          |    Organization 
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    Legal Business Name  |    METHOD PEDIATRIC THERAPY AND WELLNESS, LLC 
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Dates
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    Enumeration Date     |    09/25/2026
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    Last Update Date     |    09/25/2026
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Provider Practice Location Address
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    Address Line         |    2108 W 75TH ST STE 301 
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    City                 |    PRAIRIE VILLAGE
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    State                |    KS
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    Zip                  |    66208-3503
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    Country              |    US
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    Telephone            |    913-433-0706
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2108 W 75TH ST STE 301 
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    City                 |    PRAIRIE VILLAGE
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    State                |    KS
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    Zip                  |    66208-3503
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    Country              |    US
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    Telephone            |    913-433-0706
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/MANAGING MEMBER
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    Name                 |     TAYLOR RAE HORNBAKER 
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    Credential           |    M.S., CCC-SLP
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    Telephone            |    785-307-1273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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