Provider Demographics
NPI:1912880410
Name:HOME FRONT PEDIATRIC THERAPY LLC
Entity type:Organization
Organization Name:HOME FRONT PEDIATRIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUTHAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-954-7792
Mailing Address - Street 1:12632 42ND DR SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-5687
Mailing Address - Country:US
Mailing Address - Phone:425-954-7792
Mailing Address - Fax:
Practice Address - Street 1:12632 42ND DR SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-5687
Practice Address - Country:US
Practice Address - Phone:425-954-7792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty