Organization
SPROUT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE M. RAISPIS PT (OWNER)
(859) 803-8890
Entity
Organization
Contact information
Practice address
2083 LAKELYN CT, CRESCENT SPRINGS, KY 41017-4473
(859) 803-8890
Mailing address
2083 LAKELYN CT, CRESCENT SPRINGS, KY 41017-4473
(859) 803-8890
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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