Casey Newton
Individual provider Active NPI Developmental Therapist · Mammoth Cave, KY
NPI 1063828069 · NPPES record last updated Jul 10, 2014
Key facts
- NPI
- 1063828069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 3438 Nolin Dam Rd
Mammoth Cave, KY 42259-8204 - Phone
- (270) 246-1714
- NPI assigned
- Jul 10, 2014
- 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 | Yes |
Addresses
Primary practice location
3438 Nolin Dam Rd
Mammoth Cave, KY 42259-8204
Mailing address
3438 Nolin Dam Rd
Mammoth Cave, KY 42259-8204
Phone (270) 246-1714
Other providers in Mammoth Cave, KY
- Whitley Hockensmith
- Kristie Nicole Meredith
- Lalonnie Lynn Sanders
- Serenity Ranch Recovery LLC
- Serenity Ranch Wellness LLC
All providers in Mammoth Cave, 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 Jul 10, 2014. 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.