McKenzie Shae Birchler
Individual provider Active NPI Developmental Therapist · Owensboro, KY
NPI 1235913757 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1235913757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 201181711 (KY)
- Practice address
- 6636 Autumn CRK
Owensboro, KY 42301-8046 - Phone
- (270) 313-2848
- NPI assigned
- Aug 24, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201181711 | KY | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | KY | ||
| Developmental Therapist | 222Q00000X | 201181711 | KY | Yes |
Addresses
Primary practice location
6636 Autumn CRK
Owensboro, KY 42301-8046
Mailing address
6636 Autumn CRK
Owensboro, KY 42301-8046
Phone (270) 313-2848
Other providers in Owensboro, KY
- Justen L. Bickett
- Karen M Bickett
- Thomas Chase Biddle
- Cecilia Biglieri
- Jana Billingsley
- Jamie Bisel
- William S Black
- Holly Blackburn
- Jack C Blackstone, Jr.
- Paighten Blades
All providers in Owensboro, 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 29, 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.