Akeisha Danielle Peek

Individual provider Active NPI Developmental Therapist · Oak Grove, KY

NPI 1699129486 · NPPES record last updated Apr 18, 2016

Key facts

NPI
1699129486
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
503 Gainey Dr
Oak Grove, KY 42262-8259
Phone
(270) 987-8750
NPI assigned
Apr 18, 2016
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)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X KY Yes

Addresses

Primary practice location

503 Gainey Dr
Oak Grove, KY 42262-8259

Mailing address

503 Gainey Dr
Oak Grove, KY 42262-8259
Phone (270) 987-8750

Other identifiers

IdentifierTypeStateIssuer
9569OtherKYAKEISHA PEEK

Other providers in Oak Grove, KY

All providers in Oak Grove, KY · Developmental Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.