Jennifer D Burnett
Individual provider Active NPI Developmental Therapist · Ledbetter, KY
NPI 1306155528 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1306155528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 105 Augusta CT
Ledbetter, KY 42058-9619 - Phone
- (270) 210-2566
- NPI assigned
- Oct 5, 2010
- Sex
- Female
- Sole proprietor
- No
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
105 Augusta CT
Ledbetter, KY 42058-9619
Mailing address
105 Augusta CT
Ledbetter, KY 42058-9619
Phone (270) 210-2566
Other providers in Ledbetter, KY
All providers in Ledbetter, 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 Aug 9, 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.