| Organization Name: | SENSATIONAL KIDS THERAPY, PLLC |
| NPI Number: | 1518112416 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA J AUGUST (MANAGING MEMBER) |
| Mailing Address: | 2245 Plantation Center Dr. Ste. 57 Fleming Island |
| State: | FL US |
| Postal Code: | 320033352 |
| Phone Number: | 9043741414 |
| Fax Number: | 8777363470 |
| NPI Enumeration Date: | 11/20/2008 |
| NPI Last Update Date: | 07/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |