Whalio Doctors

NPI 1063734333

Wilson Pediatric Therapy LLC

Organisation Early Intervention Provider Agency Lexington, KY

Practice location

Address
424 Lewis Hargett Cir # B-100, Lexington, KY 40503-3688
Phone
(859) 475-4305
Fax
(877) 804-4492

Authorised official

Name
Kresta Leigh Wilson
Title
Owner/Speech Language Pathologist
Phone
(859) 806-5717

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 3201 (KY)

Registry record

NPI
1063734333
Entity type
Organization
NPI issued
26 Feb 2010
Record last updated
24 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.