Provider Demographics
NPI:1689393639
Name:STEPPING STONE KIDS THERAPY LLC
Entity Type:Organization
Organization Name:STEPPING STONE KIDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FODS EINING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:605-310-9787
Mailing Address - Street 1:6701 S SUNDERLAND LN
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8472
Mailing Address - Country:US
Mailing Address - Phone:605-310-9787
Mailing Address - Fax:
Practice Address - Street 1:6701 S SUNDERLAND LN
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8472
Practice Address - Country:US
Practice Address - Phone:605-310-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty