Provider Demographics
NPI:1417439852
Name:HAPPY KIDS THERAPIES, LLC
Entity Type:Organization
Organization Name:HAPPY KIDS THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-659-8099
Mailing Address - Street 1:P. O. BOX 15422
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2122
Mailing Address - Country:US
Mailing Address - Phone:912-659-8099
Mailing Address - Fax:912-257-7315
Practice Address - Street 1:37 W FAIRMONT AVE STE 321
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3459
Practice Address - Country:US
Practice Address - Phone:912-659-8099
Practice Address - Fax:912-257-7315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-01
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty