Organization
BLUEGRASS THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH VAN KERSEN FRANZINI (CO-OWNER/SLP)
(606) 776-1450
Entity
Organization
Contact information
Practice address
1471 TWILIGHT TRL STE A, FRANKFORT, KY 40601-8497
(606) 776-1450
(502) 352-2967
Mailing address
1471 TWILIGHT TRL STE A, FRANKFORT, KY 40601-8497
(606) 776-1450
(502) 352-2967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GN-771
—
KY
05
—
GN-773
—
KY
Enumeration date
05/21/2013
Last updated
01/15/2020
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