Bayley Brutus
Individual provider Active NPI Developmental Therapist · Kokomo, IN
NPI 1245848746 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1245848746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 3149 Congress Dr
Kokomo, IN 46902-8032 - Phone
- (765) 210-9512
- NPI assigned
- Jul 21, 2020
- 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
3149 Congress Dr
Kokomo, IN 46902-8032
Mailing address
3149 Congress Dr
Kokomo, IN 46902-8032
Phone (765) 210-9512
Other providers in Kokomo, IN
- Jeffrey Stephen Browne
- Ariane Browning
- Bruce B. Wiland, DDS, MSD
- Jodi L Brumbaugh
- Michael Darrell Brunk
- Rachel Louise Brutus
- Ashley Christine Bryant
- Carley Buck
- Conner Buck
- Alice Buckley
All providers in Kokomo, IN · Developmental Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2020. 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.