Teresa Danielle Ridener Wyatt
Individual provider Active NPI Developmental Therapist · Whitley City, KY
NPI 1245082783 · NPPES record last updated May 3, 2024
Key facts
- NPI
- 1245082783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- PO Box 745
Whitley City, KY 42653-0745 - Phone
- (606) 310-0777
- NPI assigned
- Apr 5, 2024
- 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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | |||
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
PO Box 745
Whitley City, KY 42653-0745
Mailing address
PO Box 745
Whitley City, KY 42653-0745
Phone (606) 310-0777
Other providers in Whitley City, KY
- Danielle Pryor
- Quest Community Services Inc
- Quest Community Services Inc
- Quest Community Services, Inc
- Elizabeth Ann Richmond
- Mary Ridner
- Sierra Riley
- Tim Roberts
- Shelby Rose
- Ross Family Medical
All providers in Whitley City, 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 May 3, 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.