Provider Demographics
NPI:1932736667
Name:KAIROS THERAPEUTIC HEALING CENTER
Entity Type:Organization
Organization Name:KAIROS THERAPEUTIC HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAI
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:AIRD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-704-7224
Mailing Address - Street 1:18313 JUPITER LANDINGS DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3359
Mailing Address - Country:US
Mailing Address - Phone:561-704-7224
Mailing Address - Fax:561-972-4446
Practice Address - Street 1:18313 JUPITER LANDINGS DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3359
Practice Address - Country:US
Practice Address - Phone:561-704-7224
Practice Address - Fax:561-972-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty