Individual
MICHELLE PRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2929 TAZEWELL PIKE, FOUNTAIN CITY, TN 37918-1874
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6170
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q058420
—
TN
Enumeration date
06/30/2020
Last updated
11/18/2022
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