Leslie Nicole Ferguson
Individual provider Active NPI Developmental Therapist · Flatgap, KY
NPI 1124536719 · NPPES record last updated Jan 17, 2018
Key facts
- NPI
- 1124536719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 881 Ky Route 689 E
Flatgap, KY 41219-9546 - Phone
- (606) 265-8891
- Fax
- (606) 265-4409
- NPI assigned
- Jan 17, 2018
- 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
881 Ky Route 689 E
Flatgap, KY 41219-9546
Mailing address
881 Ky Route 689 E
Flatgap, KY 41219-9546
Phone (606) 265-8891
Other providers in Flatgap, KY
All providers in Flatgap, 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 Jan 17, 2018. 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.