OrganizationActive
Launch Therapy Clinic
NPI 1063157899 · Pediatric Occupational Therapist · Russellville, KY
Provider details
- NPI number
- 1063157899
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Courtney Patrick, Owner(270) 893-5600
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
314 Highland Lick Rd
Russellville, KY 42276-9275
Phone: (270) 893-5600
Approximate (ZIP-level) locationGet directions
Mailing address
610 Green Valley Dr
Russellville, KY 42276-8808
Registry dates
- Enumerated
- 2022-05-05
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.