Alisha Walters
Individual provider Active NPI Developmental Therapist · Henderson, KY
NPI 1316625940 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1316625940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 938 2ND St
Henderson, KY 42420-3231 - Phone
- (270) 860-7766
- NPI assigned
- Jul 5, 2023
- 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 | KY | Yes |
Addresses
Primary practice location
938 2ND St
Henderson, KY 42420-3231
Mailing address
2634 State Route 56 E
Sebree, KY 42455-9125
Phone (270) 860-7766
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All providers in Henderson, 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 Jul 5, 2023. 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.