Cynthia Bond, TEACHER

Individual provider Active NPI Developmental Therapist · Olive Hill, KY

NPI 1285876367 · NPPES record last updated Nov 28, 2016

Key facts

NPI
1285876367
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
License
200102233 (KY)
Practice address
671 Goose Creek
Olive Hill, KY 41164
Phone
(606) 369-2413
NPI assigned
Apr 3, 2009
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

LicenseStateTypeSpecialty
200102233KYMDDevelopmental Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 200102233 KY Yes

Addresses

Primary practice location

671 Goose Creek
Olive Hill, KY 41164

Mailing address

671 Goose Creek
Olive Hill, KY 41164
Phone (606) 369-2413

Other providers in Olive Hill, KY

All providers in Olive Hill, KY · Developmental Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.