Organization
BLUEGRASS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA JANE GRANGER MA CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(502) 797-4168
Entity
Organization
Contact information
Practice address
308 WILLOW STONE WAY, LOUISVILLE, KY 40223-2645
(502) 797-4168
(502) 618-1757
Mailing address
308 WILLOW STONE WAY, LOUISVILLE, KY 40223-2645
(502) 797-4168
(502) 618-1757
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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