Telisa Rena Cotton
Individual provider Active NPI Developmental Therapist · Dawson Springs, KY
NPI 1013736339 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1013736339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 306 N Parker St
Dawson Springs, KY 42408-1320 - Phone
- (270) 936-2319
- NPI assigned
- Oct 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | KY | Yes |
Addresses
Primary practice location
306 N Parker St
Dawson Springs, KY 42408-1320
Mailing address
306 N Parker St
Dawson Springs, KY 42408-1320
Other providers in Dawson Springs, KY
- Lacy Chitwood
- Kristy Dawn Cloern
- Common Ground Mental Health LLC
- Commonwealth of Kentucky
- Commonwealth of Kentucky
- Maryssa Jean Coyle
- Madison Crim
- Dianna Davis-Peyton
- Jacob Ryan Davis
- Dawson Pointe, LLC
All providers in Dawson Springs, KY · Developmental Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.