Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluegrass Kids Therapy Center LLC

Organization Occupational Therapist · NPI 1043976152

Bluegrass Kids Therapy Center LLC is an Occupational Therapist in Madisonville, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23 W Center St
Madisonville, KY 42431-1941
Phone: (270) 452-2835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Occupational Therapist Taxonomy 225X00000X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1043976152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katlyn Shaw — Owner · (270) 452-2835
NPI enumeratedNovember 12, 2021
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address23 W Center St, Madisonville, KY 42431-1941

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