| NPI | 1699525576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKYLER MARIE JACOBSON Owner 913-961-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251300000X Local Education Agency (LEA) | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |