Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creative Life Skills Development

Organization Pediatric Physical Therapist · NPI 1184703670

Creative Life Skills Development is a Pediatric Physical Therapist in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
5

Practice location Address checks out

15508 W Bell Rd Ste 101-261
Surprise, AZ 85374-2432
Phone: (602) 441-5975
Fax: (602) 485-8859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X
Speech-Language Pathologist Taxonomy 235Z00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence 2762 (AZ)

Record details

NPI number1184703670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Herrmann — Owner · (602) 441-5975
NPI enumeratedNovember 3, 2006
Last updated in NPPESSeptember 7, 2011
Mailing address15508 W Bell Rd, Suite 101-261, Surprise, AZ 85374-2432

Other providers in Surprise