Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Creative Life Skills Development

Organization Pediatric Physical Therapist · NPI 1184703670

Creative Life Skills Development provides Pediatric Physical Therapist services 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 Not confirmed with CMS for 15 years — call before visiting
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