Organization
KENTUCKY TRAUMA THERAPISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CASTOR (COMMUNITY SUPPORT ASSOCIATE)
(364) 203-9250
Entity
Organization
Contact information
Practice address
661 US 31W BYP STE G, BOWLING GREEN, KY 42101-4968
(364) 203-9250
Mailing address
661 US 31W BYP STE G, BOWLING GREEN, KY 42101-4968
(364) 203-9250
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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