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General NPI Number Information
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NPI Number | 1194695460
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Entity Type | Organization
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Legal Business Name | WEATHERS PEDIATRIC THERAPY OF SELLERSBURG LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 326 N INDIANA AVE
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City | SELLERSBURG
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State | IN
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Zip | 47172-1223
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Country | US
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Telephone | 502-436-7537
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Fax |
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Provider Business Mailing Address
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Address Line | 227 HALCYON RD
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City | CHARLESTOWN
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State | IN
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Zip | 47111-2045
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Country | US
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Telephone | 502-436-7537
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NASHYLA THOMAS
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Credential |
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Telephone | 502-436-7537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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