Organization
SPEAKEASY THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY R CARTER MS, CCC-SLP, COM (OWNER)
(702) 964-5800
Entity
Organization
Contact information
Practice address
7425 W AZURE DR STE 140, LAS VEGAS, NV 89130-4425
(702) 515-4009
(702) 553-3438
Mailing address
2490 PASEO VERDE PKWY STE 155, HENDERSON, NV 89074-7120
(702) 515-4009
(702) 960-4169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
NV20141234749
NV
225XN1300X
Neurorehabilitation Occupational Therapist
NV20141234749
NV
225XP0019X
Physical Rehabilitation Occupational Therapist
NV20141234749
NV
225XP0200X
Pediatric Occupational Therapist
NV20141234749
NV
235Z00000X
Speech-Language Pathologist
Primary
NV20141234749
NV
Other
Enumeration date
01/02/2015
Last updated
08/19/2024
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