Provider Demographics
NPI:1841849932
Name:K'S THERAPIES, LLC
Entity type:Organization
Organization Name:K'S THERAPIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-653-8360
Mailing Address - Street 1:3762 ROCKDALE FELLOWSHIP RD
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7733
Mailing Address - Country:US
Mailing Address - Phone:615-500-6554
Mailing Address - Fax:
Practice Address - Street 1:10579 CEDAR GROVE RD STE 120
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-8385
Practice Address - Country:US
Practice Address - Phone:615-500-6554
Practice Address - Fax:615-469-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ032833Medicaid
TNQ000394Medicaid
TNQ030087Medicaid
TNQ044867Medicaid
TNQ050000Medicaid