Casey Pediatric Therapy Services LLC
Early Intervention Provider Agency in Richmond, KY. Organization (NPI-2).
NPI number1336687169
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1336687169
- Entity type
- Organization (NPI-2)
- Legal business name
- Casey Pediatric Therapy Services LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | KY | Yes |
Practice location
613 Dove LnRichmond, KY 40475-7525
Phone 859-333-0819 · Fax 859-972-0830
Mailing address
613 Dove LnRichmond, KY 40475-7525
Phone 859-333-0819 · Fax 859-972-0830
Authorized official
Jessica Taylor Casey
Occupational Therapist
8593330819
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