409 Therapy Services, Pllc
NPI #1972240166 in Kirbyville, Texas
Provider Information
- NPI Number
- 1972240166
- Entity Type
- Organization
- Organization Name
- 409 Therapy Services, Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 18, 2022
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 139 PRIVATE ROAD 5396
- City
- Kirbyville
- State
- Texas
- ZIP Code
- 75956-3235
- Phone
- (409) 449-5498
Authorized Official
- Name
- JESSICA PETTY, M.S. CCC-SLP
- Title
- OWNER / OPERATOR
- Phone
- (409) 289-1426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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