| Kids Therapy Specialties, Llc | |
|
4900 Sanger Ave Waco TX 76710-5866 | |
| (254) 848-6284 | |
| (254) 848-4193 |
| Full Name | Kids Therapy Specialties, Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 4900 Sanger Ave, Waco, Texas |
| Authorized Official Name and Position | Juliet Eileen Latino (OWNER) |
| Authorized Official Contact | 2546442423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Therapy Specialties, Llc 4900 Sanger Ave Waco TX 76710-5866 Ph: (254) 848-6284 | Kids Therapy Specialties, Llc 4900 Sanger Ave Waco TX 76710-5866 Ph: (254) 848-6284 |
| NPI Number | 1255606232 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255606232 | NPI | - | NPPES |
| 333160501 | Medicaid | TX |
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