| NPI | 1164970448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ELAINE BEASLEY Speech Language Pathologist 270-982-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 142550) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |