Provider Demographics
NPI:1962862227
Name:KIDS AND HORSES THERAPUETIC RIDING CENTER
Entity Type:Organization
Organization Name:KIDS AND HORSES THERAPUETIC RIDING CENTER
Other - Org Name:K & H THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAILLANCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT,HPCS
Authorized Official - Phone:775-267-1775
Mailing Address - Street 1:2869 ESAW ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-9059
Mailing Address - Country:US
Mailing Address - Phone:775-267-1775
Mailing Address - Fax:
Practice Address - Street 1:2869 ESAW ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-9059
Practice Address - Country:US
Practice Address - Phone:775-267-1775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy