Bluegrass Kids Therapy Center LLC
NPI #1043976152 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1043976152
- Entity Type
- Organization
- Organization Name
- Bluegrass Kids Therapy Center LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 12, 2021
- Last Updated
- Oct 18, 2022
Practice Location
- Address
- 23 W CENTER ST
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-1941
- Phone
- (270) 452-2835
Authorized Official
- Name
- KATLYN SHAW, MS, CCC-SLP
- Title
- OWNER
- Phone
- (270) 452-2835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Occupational Therapist - Pediatrics — Pediatrics |
| Speech-Language Pathologist |
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