OrganizationActive
Blanford Pediatric Therapy LLC
NPI 1093220741 · Social Worker · Bardstown, KY
Provider details
- NPI number
- 1093220741
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Authorized official
- Angie Boltwood, Billing Manager
Practice location
201 S 5th St
Bardstown, KY 40004-1142
Phone: (502) 331-5478
Fax: (502) 385-0234
Mailing address
201 S 5th St
Bardstown, KY 40004-1142
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.