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

Sprout Pediatric Therapy

Organization Occupational Therapist · NPI 1063297380

Sprout Pediatric Therapy is an Occupational Therapist in Calvert City, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

323 E 5th Ave
Calvert City, KY 42029-7600
Phone: (270) 713-7311
Fax: (270) 713-7401
Show map & directions

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

Record details

NPI number1063297380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hayes Oliver — Speech Language Pathologist · (270) 713-7311
NPI enumeratedAugust 25, 2023
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address323 E 5th Ave, Calvert City, KY 42029-7600

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