Organization
THE PLAY HUT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY C BUSH OTR/L (OWNER)
(276) 591-9922
Entity
Organization
Contact information
Practice address
635 W MAIN ST, LEBANON, VA 24266-3809
(276) 591-9922
Mailing address
2696 GREEN VALLEY RD, LEBANON, VA 24266-6526
(276) 591-9922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/08/2020
Last updated
04/09/2026
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