Organization
FOUNDATIONS PEDIATRIC THERAPY LLC
Active
Other names
Foundation Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAL FOLLSTAEDT (CO-OWNER)
(502) 807-6392
Entity
Organization
Contact information
Practice address
2013 EDGELAND AVE UNIT 2, LOUISVILLE, KY 40204-1420
(502) 807-6392
Mailing address
2013 EDGELAND AVE UNIT 2, LOUISVILLE, KY 40204-1420
(502) 807-6392
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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