Lakin Puzey, DT

Individual provider Active NPI Developmental Therapist · Pawnee, IL

NPI 1306240320 · NPPES record last updated Oct 20, 2014

Key facts

NPI
1306240320
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
1207 Monroe St
Pawnee, IL 62558-9498
Phone
(217) 827-7650
NPI assigned
Oct 20, 2014
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)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

1207 Monroe St
Pawnee, IL 62558-9498

Mailing address

1207 Monroe St
Pawnee, IL 62558-9498
Phone (217) 827-7650

Other providers in Pawnee, IL

All providers in Pawnee, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.