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

Bluegrass Therapy PLLC

Organization Occupational Therapist · NPI 1063066009

Bluegrass Therapy PLLC is an Occupational Therapist in Prestonsburg, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1191 S Lake Dr
Prestonsburg, KY 41653-1349
Phone: (606) 791-7435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1063066009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mara Childers — Co-Owner · (606) 791-7435
NPI enumeratedJuly 29, 2019
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing address1191 S Lake Dr, Prestonsburg, KY 41653-1349

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