Provider Demographics
NPI:1639981186
Name:SHELLEY GRAFT
Entity type:Organization
Organization Name:SHELLEY GRAFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-653-9124
Mailing Address - Street 1:6205 W. KY HWY 524
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:KY
Mailing Address - Zip Code:40077
Mailing Address - Country:US
Mailing Address - Phone:859-653-9124
Mailing Address - Fax:
Practice Address - Street 1:6205 W. KY HWY 524
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:KY
Practice Address - Zip Code:40077
Practice Address - Country:US
Practice Address - Phone:859-653-9124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty