Bridget Lynn Benningfield
Individual provider Active NPI Developmental Therapist · Louisville, KY
NPI 1063129682 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1063129682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 3202 Flair Knoll Dr
Louisville, KY 40216-1926 - Phone
- (502) 817-2787
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
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
3202 Flair Knoll Dr
Louisville, KY 40216-1926
Mailing address
3202 Flair Knoll Dr
Louisville, KY 40216-1926
Phone (502) 817-2787
Other providers in Louisville, KY
- Sherie Bennett
- Stacy Lynn Bennett
- Tina Clinton Bennett
- Christina K Benninger
- Thomas W Benninger
- Brittney Ann Benningfield
- Shawn Thomas Benningfield
- Steffany Bennington
- Matthew V. Benns
- Jordan Benock
All providers in Louisville, 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 Nov 2, 2022. 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.