Provider Demographics
NPI:1275180226
Name:KIOKO, LLC
Entity Type:Organization
Organization Name:KIOKO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:COHEN
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT, NCPT, ERYT
Authorized Official - Phone:561-878-8007
Mailing Address - Street 1:122 E BOCA RATON RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-3912
Mailing Address - Country:US
Mailing Address - Phone:561-878-8007
Mailing Address - Fax:561-570-8080
Practice Address - Street 1:122 E BOCA RATON RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3912
Practice Address - Country:US
Practice Address - Phone:561-878-8007
Practice Address - Fax:561-570-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2023-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty