Functional Kids Therapy Center LLC
NPI #1578951380 in Springfield, Michigan
Provider Information
- NPI Number
- 1578951380
- Entity Type
- Organization
- Organization Name
- Functional Kids Therapy Center LLC
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Dec 31, 2014
- Last Updated
- Sep 2, 2025
Practice Location
- Address
- 777 GOGUAC ST W STE B2
- City
- Springfield
- State
- Michigan
- ZIP Code
- 49015-2097
- Phone
- (269) 832-8224
Authorized Official
- Name
- MRS. CORTNEY A CARLISLE, MS, OTR/L
- Title
- OCCUPATIONAL THERAPIST
- Phone
- (218) 929-9595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Social Worker |
| Chiropractor |
| Physical Therapist - Pediatrics — Pediatrics |
| Speech-Language Pathologist |
| Occupational Therapist - Pediatrics — Pediatrics |
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