| Kidzone Therapy | |
|
5335 W. 48th Ave #500 Denver CO 80212 | |
| (720) 865-6042 | |
| (720) 704-4946 |
| Full Name | Kidzone Therapy |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5335 W. 48th Ave #500, Denver, Colorado |
| Authorized Official Name and Position | Desirae Renee Vigil (CO-OWNER) |
| Authorized Official Contact | 7202327135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidzone Therapy 5335 W. 48th Ave #500 Denver CO 80212 Ph: (720) 865-6042 | Kidzone Therapy 5335 W. 48th Ave #500 Denver CO 80212 Ph: (720) 865-6042 |
| NPI Number | 1245992874 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245992874 | NPI | - | NPPES |
| 9000197723 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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