Organization
THERATREE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KAITLIN LYNN HATFIELD OTR/L (OWNER , CEO)
(270) 688-8449
Entity
Organization
Contact information
Practice address
2605 NEW HARTFORD RD, OWENSBORO, KY 42303-1316
(270) 688-8449
(270) 240-4840
Mailing address
2605 NEW HARTFORD RD, OWENSBORO, KY 42303-1316
(270) 688-8449
(270) 240-4840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300042141
—
IN
05
—
7100513370
—
KY
Enumeration date
08/23/2017
Last updated
07/07/2022
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