Provider Demographics
NPI:1275297210
Name:THERAKIDS LLC
Entity Type:Organization
Organization Name:THERAKIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HADASSAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS SLP CCC
Authorized Official - Phone:347-418-5349
Mailing Address - Street 1:174 ANDADA DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-2477
Mailing Address - Country:US
Mailing Address - Phone:347-418-5349
Mailing Address - Fax:
Practice Address - Street 1:174 ANDADA DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-2477
Practice Address - Country:US
Practice Address - Phone:347-418-5349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty