Kristen Stanley
Individual provider Active NPI Developmental Therapist · Parker City, IN
NPI 1861975690 · NPPES record last updated Sep 7, 2018
Key facts
- NPI
- 1861975690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 12828 W Stoney Creek LN
Parker City, IN 47368-9630 - Phone
- (765) 644-0500
- Fax
- (765) 378-9019
- NPI assigned
- Sep 7, 2018
- 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
12828 W Stoney Creek LN
Parker City, IN 47368-9630
Mailing address
12828 W Stoney Creek LN
Parker City, IN 47368-9630
Phone (765) 644-0500
Other providers in Parker City, IN
- Oscar I Ordonez
- Parker Primary Care & Aesthetics LLC
- Kyle Parkison
- Riverview Hospital
- Tara Lyn Shearer
- Logan Thomas
All providers in Parker City, IN · Developmental Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2018. 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.