Provider Demographics
NPI:1871202325
Name:AYRES THERAPY SERVICES LLC
Entity type:Organization
Organization Name:AYRES THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.S. CCC-SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRYSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-791-2550
Mailing Address - Street 1:1890 STAR SHOOT PKWY STE 170-249
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4566
Mailing Address - Country:US
Mailing Address - Phone:502-791-2550
Mailing Address - Fax:
Practice Address - Street 1:1890 STAR SHOOT PKWY STE 170-249
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4566
Practice Address - Country:US
Practice Address - Phone:502-791-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty