Provider Demographics
NPI:1154467454
Name:'SENSE'ATIONAL KIDS
Entity Type:Organization
Organization Name:'SENSE'ATIONAL KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-236-5053
Mailing Address - Street 1:452 E SILVERADO RANCH BLVD
Mailing Address - Street 2:#455
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-6290
Mailing Address - Country:US
Mailing Address - Phone:702-236-5053
Mailing Address - Fax:702-341-0402
Practice Address - Street 1:452 E SILVERADO RANCH BLVD
Practice Address - Street 2:#455
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-6290
Practice Address - Country:US
Practice Address - Phone:702-236-5053
Practice Address - Fax:702-341-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100509620Medicaid