| Mighty Kids Therapy | |
|
4010 Sandy Brook Dr Ste 201 Round Rock TX 78665-1516 | |
| (512) 388-8904 | |
| (512) 287-4214 |
| Full Name | Mighty Kids Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 4010 Sandy Brook Dr, Round Rock, Texas |
| Authorized Official Name and Position | Anna Chimiel (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 5123888904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mighty Kids Therapy 4010 Sandy Brook Dr Ste 201 Round Rock TX 78665-1516 Ph: (512) 388-8904 | Mighty Kids Therapy 4010 Sandy Brook Dr Ste 201 Round Rock TX 78665-1516 Ph: (512) 388-8904 |
| NPI Number | 1548683592 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548683592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 566600000 (Texas) | Primary |
| 261Q00000X | Clinic/center | 675510000 (Texas) | Secondary |
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