Provider Demographics
NPI:1699533679
Name:NEXT GENERATION THERAPY
Entity type:Organization
Organization Name:NEXT GENERATION THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COTA
Authorized Official - Prefix:
Authorized Official - First Name:KYLIE
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:REISENBICHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-837-9177
Mailing Address - Street 1:3514 STATE HIGHWAY 25
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:714 COUNTY ROAD 319
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-8078
Practice Address - Country:US
Practice Address - Phone:573-837-9177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty