Organization
TINY TRIUMPHS PEDIATRIC THERAPY , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY HAYHURST MS, CCC- SLP (OWNER)
(812) 629-6030
Entity
Organization
Contact information
Practice address
4011 COTTONWOOD DR, BOONVILLE, IN 47601-0038
(812) 629-6030
Mailing address
4011 COTTONWOOD DR, BOONVILLE, IN 47601-0038
(812) 629-6030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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