Provider Demographics
NPI:1134634173
Name:KD THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:KD THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DHRUTI
Authorized Official - Middle Name:PARIKH
Authorized Official - Last Name:DIRAJLAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-212-0179
Mailing Address - Street 1:10418 PEARWOOD PL
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7561
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4745 NW 7TH CT
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-9340
Practice Address - Country:US
Practice Address - Phone:561-972-1753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health