| Organization Name: | KIDS ONLINE THERAPY WORKS LLC |
| NPI Number: | 1225419039 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA ANNE ROGERS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2140 Monaco Pkwy Denver |
| State: | CO US |
| Postal Code: | 802073951 |
| Phone Number: | 7039322099 |
| Fax Number: | 3033204489 |
| NPI Enumeration Date: | 06/17/2015 |
| NPI Last Update Date: | 06/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP0001743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |