Organization Name: | BLUEGRASS THERAPY GROUP, LLC |
NPI Number: | 1861838419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL KELLY HARDESTY (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 975 River Bend Rd Ste B Frankfort |
State: | KY US |
Postal Code: | 406016314 |
Phone Number: | 5023209838 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2013 |
NPI Last Update Date: | 10/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |