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

Wilderness Trace Child Development Center

Organization Physical Therapist · NPI 1003024084

Wilderness Trace Child Development Center is a Physical Therapist 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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