Provider Demographics
NPI:1710200399
Name:JB THERAPY SERVICES PLLC
Entity Type:Organization
Organization Name:JB THERAPY SERVICES PLLC
Other - Org Name:SIMPLY THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:270-313-6414
Mailing Address - Street 1:3117 ALVEY PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-7637
Mailing Address - Country:US
Mailing Address - Phone:270-313-6414
Mailing Address - Fax:
Practice Address - Street 1:3117 ALVEY PARK DRIVE
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-7825
Practice Address - Country:US
Practice Address - Phone:270-313-6414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty