Organization Name: | THE KID SPOT |
NPI Number: | 1083005037 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRANDY CLOSE (CO-OWNER AND OT) |
Mailing Address: | 121 Casey St Ste A Campbellsville |
State: | KY US |
Postal Code: | 427186858 |
Phone Number: | 2704657768 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2015 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 005957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |