Individual provider · Type 1 NPI

Mary Ann Kasperson, 222Q00000X

Developmental Therapist · Lexington, KY

NPI number 1023937125 Active

Practice location

261 Ruccio Way Ste 190
Lexington, KY 40503-3566

Call (859) 279-0252 Map

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138

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 1023937125

Mary Ann Kasperson, 222Q00000X's National Provider Identifier is 1023937125, issued on Jul 13, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lexington, KY. The record was last updated on Jul 13, 2026.