Provider Demographics
NPI:1700047107
Name:CHILDREN'S THERAPY SERVICES
Entity Type:Organization
Organization Name:CHILDREN'S THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BOBBIE JO
Authorized Official - Middle Name:KRISTINE
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-716-2634
Mailing Address - Street 1:110 N CAMBELL ST STE A
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703
Mailing Address - Country:US
Mailing Address - Phone:605-718-1719
Mailing Address - Fax:
Practice Address - Street 1:110 N CAMBELL ST STE A
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-1726
Practice Address - Country:US
Practice Address - Phone:605-716-2634
Practice Address - Fax:605-716-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X, 225200000X, 225X00000X, 235Z00000X
SD0628225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty