Tina Badgett
Individual provider Active NPI Developmental Therapist · Grayson, KY
NPI 1124287115 · NPPES record last updated Oct 8, 2010
Key facts
- NPI
- 1124287115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 149 Blue Bird LN
Grayson, KY 41143-8726 - Phone
- (606) 475-1912
- NPI assigned
- Jun 4, 2008
- 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
149 Blue Bird LN
Grayson, KY 41143-8726
Mailing address
149 Blue Bird LN
Grayson, KY 41143-8726
Phone (606) 475-1912
Other providers in Grayson, KY
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- Ashland Hospital Corporation
- At Home Visit, PLLC
- Brittany Angel Banks
- Corina Barker
- Katrina Barker
- Macy Bassler
- Taylor Bayes
All providers in Grayson, 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 8, 2010. 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.