Jessica Morhet
Individual provider Active NPI Developmental Therapist · Mulkeytown, IL
NPI 1861241085 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1861241085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 10453 E Center Rd
Mulkeytown, IL 62865-2527 - Phone
- (618) 663-5370
- NPI assigned
- May 20, 2024
- 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 | Yes |
Addresses
Primary practice location
10453 E Center Rd
Mulkeytown, IL 62865-2527
Mailing address
10453 E Center Rd
Mulkeytown, IL 62865-2527
Phone (618) 663-5370
Other providers in Mulkeytown, IL
- Be Well Collaborative PLLC
- Allison Lynne Dublo
- Bethany Joy Dwyer
- Joni Dawn Utlaut
- Zeigler Royalton Commty
All providers in Mulkeytown, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 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.