# BOWLING GREEN THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558811885
- **Authorized official:** PAULETTE DAVIES MS CCC-SLP (OWNER/SPEECH PATHOLOGIST)
- **Authorized official phone:** (423) 268-5647

## Contact information

- **Practice address:** 123 QUAIL RUN, JOHNSON CITY, TN 37601-5366
- **Practice address phone:** (423) 268-5647
- **Mailing address:** 123 QUAIL RUN, JOHNSON CITY, TN 37601-5366
- **Mailing address phone:** (423) 268-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 3255 | TN | Yes |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 10/11/2016