Lisa Annette Smith, B.S. IN IECE
Individual provider Active NPI Developmental Therapist · Strunk, KY
NPI 1386980928 · NPPES record last updated Aug 16, 2013
Key facts
- NPI
- 1386980928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 000071339 (KY)
- Practice address
- 1633 Murphy Ridge Rd
Strunk, KY 42649-9358 - Phone
- (606) 354-3818
- NPI assigned
- Jan 1, 2013
- 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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000071339 | KY | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 000071339 | KY | Yes |
Addresses
Primary practice location
1633 Murphy Ridge Rd
Strunk, KY 42649-9358
Mailing address
1633 Murphy Ridge Rd
Strunk, KY 42649-9358
Phone (606) 354-3818
Other providers in Strunk, KY
All providers in Strunk, 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 16, 2013. 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.