# EVOLVE EARLY INTERVENTION

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

## Provider details

- **NPI number:** 1710640388
- **Authorized official:** MRS. KASIE BALLARD MS, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (812) 228-6896

## Contact information

- **Practice address:** 2480H US 41 N STE 80, HENDERSON, KY 42420-2359
- **Practice address phone:** (812) 228-6896
- **Practice address fax:** (270) 212-0271
- **Mailing address:** 4101 RODENBERG AVE, EVANSVILLE, IN 47720-6230
- **Mailing address phone:** (812) 228-6896
- **Mailing address fax:** (270) 212-0271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | NULL | — |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | — | — |
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician | — | NULL | — |
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician | — | — | — |
| 222Q00000X | Developmental Therapist | — | NULL | — |
| 222Q00000X | Developmental Therapist | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2021
- **Last updated:** 11/04/2021