Organization
SPEAKEASY THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY R CARTER MS, CCC-SLP (OWNER)
(702) 964-5800
Entity
Organization
Contact information
Practice address
2490 PASEO VERDE PKWY STE 155, HENDERSON, NV 89074-7120
(702) 515-4009
Mailing address
2490 PASEO VERDE PKWY STE 155, HENDERSON, NV 89074-7120
(702) 515-4009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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