THERAPY TRAILS LLC NPI 1760993497

NPI Information

  • NPI: 1760993497
  • Provider Name: THERAPY TRAILS, LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 5176 WRIGHTSBORO RD
    GROVETOWN, GA
    ZIP 30813
  • Phone: (706) 842-3330

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NPI Details

THERAPY TRAILS, LLC is a speech language pathologist in Grovetown, GA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. THERAPY TRAILS, LLC NPI is 1760993497. The provider is registered as an organization entity type.

The provider's business location address is:

5176 WRIGHTSBORO RD
GROVETOWN, GA
ZIP 30813-802
Phone: (706) 842-3330
Fax: (706) 426-1168

The provider's authorized official is Elizabeth Peavy .
The authorized official title is Speech-language Pathologist and has the following contact phone number (478) 230-0431.

The enumeration date for this NPI number is 10/20/2017 and was last updated on 12/9/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QP2000XClinic/CenterPhysical TherapyNo
3235Z00000XSpeech-Language PathologistSLP008920GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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