Healthcare Provider Details

I. General information

NPI: 1053223313
Provider Name (Legal Business Name): KLY THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8823 TRUDEAU AVE
BATON ROUGE LA
70806-8639
US

IV. Provider business mailing address

8823 TRUDEAU AVE
BATON ROUGE LA
70806-8639
US

V. Phone/Fax

Practice location:
  • Phone: 870-833-2140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KIRBEE LESTER
Title or Position: OWNER
Credential: MA
Phone: 870-833-2140