Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Kids Therapy LLC

Organization Pediatric Occupational Therapist · NPI 1033986294

Canyon Kids Therapy LLC provides Pediatric Occupational Therapist services in San Antonio, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9502 Novacek Blvd
San Antonio, TX 78254-2121
Phone: (208) 360-9969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1033986294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Ricks — Owner/Occupational Therapist · (208) 360-9969
NPI enumeratedDecember 7, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address9502 Novacek Blvd, San Antonio, TX 78254-2121

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