Organization
BLUEGRASS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA JANE GRANGER MA CCC-SLP (SPEECH PATHOLOGIST)
(502) 797-4168
Entity
Organization
Contact information
Practice address
308 WILLOW STONE WAY, LOUISVILLE, KY 40223-2645
(502) 797-4168
(502) 618-1757
Mailing address
308 WILLOW STONE WAY, LOUISVILLE, KY 40223-2645
(502) 797-4168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
04/02/2012
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