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General NPI Number Information
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NPI Number | 1790455855
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Entity Type | Organization
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Legal Business Name | KT'S THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 300 E BRADFORD ST
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City | WEST UNION
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State | IA
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Zip | 52175-1281
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Country | US
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Telephone | 563-380-9642
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Fax |
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Provider Business Mailing Address
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Address Line | 14489 180TH ST
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City | RANDALIA
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State | IA
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Zip | 52164-8575
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Country | US
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Telephone | 563-380-9642
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KATHRYN E SIECK
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Credential |
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Telephone | 563-380-9642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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