Provider Demographics
NPI:1790455855
Name:KT'S THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:KT'S THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-380-9642
Mailing Address - Street 1:14489 180TH ST
Mailing Address - Street 2:
Mailing Address - City:RANDALIA
Mailing Address - State:IA
Mailing Address - Zip Code:52164-8575
Mailing Address - Country:US
Mailing Address - Phone:563-380-9642
Mailing Address - Fax:
Practice Address - Street 1:300 E BRADFORD ST
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:IA
Practice Address - Zip Code:52175-1281
Practice Address - Country:US
Practice Address - Phone:563-380-9642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty