| Tidal Therapy, Llc | |
|
5005 N Emerald Ct Maize KS 67101-8717 | |
| (316) 308-5426 | |
| Not Available |
| Full Name | Tidal Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5005 N Emerald Ct, Maize, Kansas |
| Authorized Official Name and Position | Kelsey Ball (OWNER) |
| Authorized Official Contact | 3163085426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidal Therapy, Llc 5005 N Emerald Ct Maize KS 67101-8717 Ph: () - | Tidal Therapy, Llc 5005 N Emerald Ct Maize KS 67101-8717 Ph: (316) 308-5426 |
| NPI Number | 1073481719 |
|---|---|
| Provider Enumeration Date | 10/24/2025 |
| Last Update Date | 10/24/2025 |
| Certification Date | 10/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073481719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |