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Wilderness Trace Child Development Center

Physical Therapist in Danville, KY · enumerated 2007 · authorized official Libby Suttles, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003024084

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Registry record

Entity type Organization (Type 2)
Legal business name Wilderness Trace Child Development Center
Practice address 409 Stewarts Ln N, Danville, KY, 40422
Phone (859) 236-0878
Fax (859) 236-0878
Enumeration date May 21, 2007
Last updated in NPPES May 10, 2017

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary
251300000X Local Education Agency (LEA) Agencies · License 354928 (KY) Secondary

Authorized official

Name Libby Suttles
Title Executive Director
Phone (859) 236-0878

Other identifiers

Identifier Type State Issuer
7100454490 Medicaid KY -
00153 Other KY FIRST STEPS PROVIDER NUMB

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Wilderness Trace Child Development Center?
The NPI for Wilderness Trace Child Development Center is 1003024084, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Wilderness Trace Child Development Center?
NPPES lists Libby Suttles (Executive Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-10.