Individual provider · Type 1 NPI

Gena Wilson

Developmental Therapist · Shelbyville, KY

NPI number 1003756057 Active

Practice location

90 Howard Dr
Shelbyville, KY 40065-8138

Call (502) 233-9074 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1003756057

Gena Wilson's National Provider Identifier is 1003756057, issued on Mar 30, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Shelbyville, KY. The record was last updated on Mar 30, 2026.