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Organization

MOUNTAIN THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN SIZEMORE (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(606) 813-1819
Entity
Organization

Contact information

Practice address
572 VILLAGE LN, HAZARD, KY 41701-9406
(606) 439-5055
(606) 467-2212
Mailing address
572 VILLAGE LN, HAZARD, KY 41701-9406

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
11/16/2021
Last updated
07/01/2024
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