NPI 1184972184

Periwinkle Children's Therapy

Organisation Contractor Hayden, ID

Practice location

Address: 1401 W Bizztown Loop, Hayden, ID 83835-5113
Phone: (208) 762-3502
Fax: (888) 310-4824

Authorised official

Name: Christy Adams
Title: Co-Owner
Phone: (208) 762-3502

Registered specialties (3)

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Pediatric Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251P0200X

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Pediatric Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X

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Registry record

NPI: 1184972184
Entity type: Organization
NPI issued: 22 Aug 2012
Record last updated: 22 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.