Organization
SPROUT PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYES OLIVER MS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(270) 713-7311
Entity
Organization
Contact information
Practice address
323 E 5TH AVE, CALVERT CITY, KY 42029-7600
(270) 713-7311
(270) 713-7401
Mailing address
323 E 5TH AVE, CALVERT CITY, KY 42029-7600
(270) 713-7311
(270) 713-7401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
04/24/2026
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