| NPI | 1104709104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAILYN BAKER Owner/Speech Language Pathologist 606-309-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225200000X Physical Therapy Assistant | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |