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

Masonic Homes of Kentucky Pediatric Daycare Inc

Organization Physical Therapist · NPI 1164785846

Masonic Homes of Kentucky Pediatric Daycare Inc is a Physical Therapist in Masonic Home, Kentucky. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 Masonic Home Dr
Masonic Home, KY 40041-9000
Phone: (502) 753-8224
Fax: (502) 753-8223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1164785846
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMasonic Homes of Kentucky Inc
Authorized official Kim Boden — Executive Director · (502) 753-8224
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 19, 2012
Mailing address330 Masonic Home Dr, Masonic Home, KY 40041-9000

Other providers in Masonic Home