Provider Demographics
NPI:1447734140
Name:PT FOR KIDS, INC
Entity Type:Organization
Organization Name:PT FOR KIDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAYME
Authorized Official - Middle Name:
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DHS, PCS
Authorized Official - Phone:812-631-1980
Mailing Address - Street 1:3900 W HOLLAND RD E
Mailing Address - Street 2:
Mailing Address - City:HUNTINGBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47542-9641
Mailing Address - Country:US
Mailing Address - Phone:812-631-1980
Mailing Address - Fax:
Practice Address - Street 1:671 3RD AVE STE 2
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-3652
Practice Address - Country:US
Practice Address - Phone:812-631-1980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty