| Koda Therapy Llc | |
|
1475 W Oak St Unit 811 Zionsville IN 46077-2040 | |
| (317) 207-0765 | |
| Not Available |
| Full Name | Koda Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1475 W Oak St Unit 811, Zionsville, Indiana |
| Authorized Official Name and Position | Leah Cook (MANAGING MEMBER) |
| Authorized Official Contact | 3172070765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koda Therapy Llc 1475 W Oak St Unit 811 Zionsville IN 46077-2040 Ph: () - | Koda Therapy Llc 1475 W Oak St Unit 811 Zionsville IN 46077-2040 Ph: (317) 207-0765 |
| NPI Number | 1356114672 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356114672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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