Kidspace Therapy, LLC
Kidspace Therapy, LLC is a Clinic/Center in Longview, Washington. Licensed in Washington. Registered with an NPI since 2015.
- Licensed in
- WA
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2145 Tibbetts Dr Ste ALongview, WA 98632-4211
Phone: (360) 560-1972
Fax: (360) 703-3452
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X · Licence 603464065 (WA) |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X · Licence OT00001294 (WA) |
Record details
| NPI number | 1184019184 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leslie Wolff — Owner · (360) 560-1972 |
| NPI enumerated | April 6, 2015 |
| Last updated in NPPES | July 15, 2020 |
| Certification date | July 15, 2020 |
| Mailing address | 2145 Tibbetts Dr Ste A, Longview, WA 98632-4211 |
Other providers in Longview
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Cowlitz Indian Tribe
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-
Heartsong Massage, Inc
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Ideal Option, PLLC
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Pediatric Clinic, Inc , P.s.
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Spine and Whiplash Center, Inc
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