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MICHAEL D THEDFORD
NPI 1366222812
Peer Specialist in Louisville, KY

Active since October 03, 2023
4106 FLINTLOCK DR, LOUISVILLE, KY 40216(502) 715-6792 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael D Thedford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL D THEDFORD (NPI 1366222812) is an individual peer specialist in Louisville, Kentucky, licensed in Kentucky (1211944) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1366222812
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMICHAEL D THEDFORD
Location Address4106 FLINTLOCK DRLouisville, KY 40216-1534
Mailing Address4106 Flintlock DrLouisville, KY 40216-1534 · (502) 715-6792
Phone(502) 715-6792
Sole ProprietorYes
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1366222812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in KY · 1211944
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
4106 FLINTLOCK DR, Louisville, KY 40216
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL L YOUNG DC
Chiropractor
4106 FLINTLOCK DR
LOUISVILLE, KY 40216
Jefferson County (859) 652-5689
KAYLA DEVIN BARNETT
Peer Specialist
4106 FLINTLOCK DR
LOUISVILLE, KY 40216
Jefferson County (812) 946-5686
CRS BEHAVIORAL HEALTHCARE CORPORATION
Clinic/Center (Rehabilitation, Substance Use Disorder)
4106 FLINTLOCK DR
LOUISVILLE, KY 40216
Jefferson County (859) 652-5689
CHIROPRACTIC REHAB AND SPORTS INJURIES OF LOUISVILLE
Chiropractor
4106 FLINTLOCK DR
LOUISVILLE, KY 40216
Jefferson County (502) 290-7361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Thedford's NPI number?

The NPI number for Michael Thedford is 1366222812. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Michael Thedford located?

Michael Thedford practices at 4106 Flintlock Dr, Louisville, KY 40216. The listed phone number is (502) 715-6792.

What is Michael Thedford's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Michael Thedford was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.