MEDICARE: BREATH AND BALANCE PEDIATRIC THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1164209607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREATH AND BALANCE PEDIATRIC THERAPY, LLC

Provider Business Mailing Address
First Line	:	600 CARPENTER CREEK RD
Second Line	:
City	:	PARKSVILLE
State	:	KY
Zip	:	40464-9090
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E REYNOLDS RD STE 3
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-1251
Country	:	US
Telephone Number	:	606-282-3503
Fax Number	:

Authorized Official
Title or Position	:	OWNER, OCCUPATIONAL THERAPIST
Name	:	AIMEE LEE DAVIS
Credential	:	MS OTR/L CIMC
Telephone Number	:	606-282-3503

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	02/28/2024

Similar Medicare Providers

1609267624 — ERICA RHORER RDN, LD, IBCLC
Practice Location Address:

120 E REYNOLDS RD STE 3
LEXINGTON, KY
40517-1251

Practice Phone: 859-287-2996
Practice Fax:

1841790243 — AIMEE LEE DAVIS MS OTR/L
Practice Location Address:

120 E REYNOLDS RD STE 3
LEXINGTON, KY
40517-1251

Practice Phone: 606-282-3503
Practice Fax:

1568010742 — KISSTIN SCOTT MS, CCC/SLP, IBCLC
Practice Location Address:

120 E REYNOLDS RD STE 3
LEXINGTON, KY
40517-1251

Practice Phone: 859-248-6766
Practice Fax:

1609454222 — WILLA
Practice Location Address:

120 E REYNOLDS RD STE 3
LEXINGTON, KY
40517-1251

Practice Phone: 859-287-2996
Practice Fax:

1750420600 — LATITUDE, LLC
Practice Location Address:

167 SAUNIER ST
LEXINGTON, KY
40507-1251

Practice Phone: 859-806-0195
Practice Fax: 859-233-7927

1982808671 — DR. BALLARD F. MORGAN JR. DMD
Practice Location Address:

1510 NEWTOWN PIKE , SUITE 201
LEXINGTON, KY
40511-1251

Practice Phone: 859-233-7700
Practice Fax: 859-255-0079

Directions to “BREATH AND BALANCE PEDIATRIC THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.