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1538692389 NPI number — JUST 4 KIDS PHSYCAL THERAPY LLLC

NPI Number: 1538692389
Health Care Provider/Practitioner: JUST 4 KIDS PHSYCAL THERAPY LLLC

Information about “1538692389” NPI (JUST 4 KIDS PHSYCAL THERAPY LLLC) exists in 1538692389 in HTML format HTML  |  1538692389 in plain Text format TXT  |  1538692389 in PDF (Portable Document Format) PDF  |  1538692389 in an XML format XML  formats.

NPI Number : 1538692389 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538692389",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JUST 4 KIDS PHSYCAL THERAPY LLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5767 FOX TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORENCE",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59833-6661",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-240-3878",
    "MailingAddressFaxNumber": "406-552-4843",
    "FirstLinePracticeLocationAddress": "800 KENSINGTON AVE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MISSOULA",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59801-5670",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-240-3878",
    "PracticeLocationAddressFaxNumber": "406-552-4843",
    "EnumerationDate": "04/08/2017",
    "LastUpdateDate": "04/08/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KELLEY",
    "AuthorizedOfficialFirstName": "KATHLEEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPT",
    "AuthorizedOfficialTelephoneNumber": "406-240-3878",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "2066",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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