Organization
LAUNCH THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY PATRICK OTD, OTR/L (OWNER)
(270) 893-5600
Entity
Organization
Contact information
Practice address
314 HIGHLAND LICK RD, RUSSELLVILLE, KY 42276-9275
(270) 893-5600
Mailing address
610 GREEN VALLEY DR, RUSSELLVILLE, KY 42276-8808
(270) 893-5600
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100872860
—
KY
Enumeration date
05/05/2022
Last updated
05/03/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up