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Outside the Box Therapy, LLC — NPI 1427796523, Clovis, NM | NPI Central

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NPI 1427796523

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Outside the Box Therapy, LLC

NPI 1427796523 · Pediatric Occupational Therapist · Clovis, NM

Provider details

NPI number: 1427796523
Entity type: Organization
Primary specialty: Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Organization subpart: No
Authorized official: Jared Cordum, Member(217) 415-0855

Specialties & taxonomies

Pediatric Occupational TherapistPrimary225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

3009 N Prince St # 46

Clovis, NM 88101-3818

Phone: (217) 415-0855

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

Po Box 5751

Clovis, NM 88102-5751

Other names (DBA / former)

Doing business as: Outside the Box Therapy

Registry dates

Enumerated: 2022-05-26
Last updated: 2022-06-04
Certified: 2022-06-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.