MEDICARE: GRACYN R GARZA

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		KY

General Provider Information

NPI Number	:	1942149695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACYN R GARZA

Provider Business Mailing Address
First Line	:	520 BARLOW DR
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1601
Country	:	US
Telephone Number	:	859-771-9778
Fax Number	:

Provider Business Practice Location Address
First Line	:	424 LEWIS HARGETT CIR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3688
Country	:	US
Telephone Number	:	859-353-3666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “ GRACYN R GARZA ” Practice Location

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