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BLUEGRASS THERAPY PLLC NPI 1063066009


NPI Information

NPI: 1063066009
Provider Name: BLUEGRASS THERAPY PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1191 S LAKE DR
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 791-7435
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BLUEGRASS THERAPY PLLC is a clinic center in Prestonsburg, KY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BLUEGRASS THERAPY PLLC NPI is 1063066009. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1191 S LAKE DR
PRESTONSBURG, KY
ZIP 41653-349
Phone: (606) 791-7435

The provider's authorized official is Mara O Childers .
The authorized official title is Co-owner and has the following contact phone number (606) 791-7435.

The enumeration date for this NPI number is 7/29/2019 and was last updated on 12/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2235Z00000XSpeech-Language PathologistNo
3261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.