Provider Demographics
NPI:1831154582
Name:KIDS MEDICAL THERAPIES INC.
Entity type:Organization
Organization Name:KIDS MEDICAL THERAPIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:RESPIRATORY THERAPY
Authorized Official - Phone:770-460-3884
Mailing Address - Street 1:130 INDUSTRIAL WAY
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-6814
Mailing Address - Country:US
Mailing Address - Phone:770-460-3884
Mailing Address - Fax:
Practice Address - Street 1:130 INDUSTRIAL WAY
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-6814
Practice Address - Country:US
Practice Address - Phone:770-460-3884
Practice Address - Fax:770-460-5158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies