WILDERNESS TRACE CHILD DEVELOPMENT CENTER – Physical Therapist, NPI 1003024084

WILDERNESS TRACE CHILD DEVELOPMENT CENTER is a healthcare provider. based in Danville, Kentucky. specializing in Physical Therapist. The organization holds a License No. 354928 (KY). The NPI Number for WILDERNESS TRACE CHILD DEVELOPMENT CENTER is 1003024084

Main info

Organization
Name
WILDERNESS TRACE CHILD DEVELOPMENT CENTER
NPI
1003024084
Phone
(859) 236-0878
Address
409 STEWARTS LN N
Authorized Official
MRS. LIBBY SUTTLES EXECUTIVE DIRECTOR
Enumeration Date
21 May 2007
Last Update Date
10 May 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for WILDERNESS TRACE CHILD DEVELOPMENT CENTER

  • Stewarts Lane, Danville, Junction City, Boyle County, Kentucky, 40440, United States

    DANVILLE, KY 404228825

    Phone: (859) 236-0878

    Fax: (859) 236-3570

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40422)

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Reviews

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Frequently asked questions

What number should I use to identify WILDERNESS TRACE CHILD DEVELOPMENT CENTER for billing?
Administrative and clinical systems typically use NPI 1003024084 for WILDERNESS TRACE CHILD DEVELOPMENT CENTER.
Is WILDERNESS TRACE CHILD DEVELOPMENT CENTER currently accepting referrals based on NPI status?
Registry metadata lists WILDERNESS TRACE CHILD DEVELOPMENT CENTER as active.
How should patients interpret WILDERNESS TRACE CHILD DEVELOPMENT CENTER's specialty?
The extract shows Physical Therapist for WILDERNESS TRACE CHILD DEVELOPMENT CENTER. Clinical services aligned with this taxonomy classification.
Is WILDERNESS TRACE CHILD DEVELOPMENT CENTER tied to Danville, Kentucky?
If you are local to Danville, Kentucky, WILDERNESS TRACE CHILD DEVELOPMENT CENTER may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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