OrganizationActive
Wilderness Trace Child Development Center
NPI 1003024084 · Physical Therapist · Danville, KY
Provider details
- NPI number
- 1003024084
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Libby Suttles, Executive Director(859) 236-0878
- License
- 354928 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Agencies
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
409 Stewarts Ln N
Danville, KY 40422-8825
Phone: (859) 236-0878
Fax: (859) 236-0878
Approximate (ZIP-level) locationGet directions
Mailing address
409 Stewarts Ln N
Danville, KY 40422-8825
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2017-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.