Healthcare Provider Details

I. General information

NPI: 1568889509
Provider Name (Legal Business Name): PUZZLE PIECES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 NEW HARTFORD RD
OWENSBORO KY
42303-1312
US

IV. Provider business mailing address

2401 NEW HARTFORD RD
OWENSBORO KY
42303-1312
US

V. Phone/Fax

Practice location:
  • Phone: 270-926-7813
  • Fax:
Mailing address:
  • Phone: 270-926-7813
  • Fax: 270-926-7833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA OWEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 270-926-7813