| NPI | 1558741884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ELIZABETH TRAVIS Speech Language Pathologist 270-576-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPINP00216172) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |