Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wilderness Trace Child Development Center

Organization Physical Therapist · NPI 1003024084

Wilderness Trace Child Development Center provides Physical Therapist services in Danville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
Specialties on file
4

Practice location Address checks out

409 Stewarts Ln N
Danville, KY 40422-8825
Phone: (859) 236-0878
Fax: (859) 236-0878
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Local Education Agency (LEA) Taxonomy 251300000X · Licence 354928 (KY)

Record details

NPI number1003024084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Libby Suttles — Executive Director · (859) 236-0878
NPI enumeratedMay 21, 2007
Last updated in NPPESMay 10, 2017
Mailing address409 Stewarts Ln N, Danville, KY 40422-8825

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