Organization
EXCEPTIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER THOMAS WATTS (AUTHORIZED OFFICIAL)
(859) 255-0075
Entity
Organization
Contact information
Practice address
1050 CHINOE RD STE 350, LEXINGTON, KY 40502-6571
(859) 255-0075
(859) 281-5150
Mailing address
1050 CHINOE RD STE 350, LEXINGTON, KY 40502-6571
(859) 255-0075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/20/2024
Last updated
10/03/2024
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