OrganizationActive
409 Therapy Services, PLLC
NPI 1972240166 · Speech-Language Pathologist · Kirbyville, TX
Provider details
- NPI number
- 1972240166
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Authorized official
- Jessica Petty, Owner / Operator
Practice location
139 Private Road 5396
Kirbyville, TX 75956-3235
Phone: (409) 449-5498
Fax: (409) 449-6079
Mailing address
139 Private Road 5396
Kirbyville, TX 75956-3235
Registry dates
- Enumerated
- 2022-05-18
- Last updated
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.