1679802979 NPI number — KIDVENTURES OCCUPATIONAL THERAPY, PC

Table of content: DR. ALISON L DAYS MD (NPI 1801851308)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679802979 NPI number — KIDVENTURES OCCUPATIONAL THERAPY, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KIDVENTURES OCCUPATIONAL THERAPY, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679802979
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5524 BEE CAVE RD
Provider Second Line Business Mailing Address:
BLDG. L
Provider Business Mailing Address City Name:
WEST LAKE HILLS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78746-5245
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-327-4499
Provider Business Mailing Address Fax Number:
512-327-4495

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5524 BEE CAVE RD
Provider Second Line Business Practice Location Address:
BLDG. L
Provider Business Practice Location Address City Name:
WEST LAKE HILLS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78746-5245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-327-4499
Provider Business Practice Location Address Fax Number:
512-327-4495
Provider Enumeration Date:
12/15/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BALMER
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
R
Authorized Official Title or Position:
OCCUPATIONAL THERAPIST/OWNER
Authorized Official Telephone Number:
512-327-4499

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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