Individual provider · Type 1 NPI
Krista Teckenbrock
Developmental Therapist · Herrin, IL
Practice location
37 Douglas Dr
Herrin, IL 62948-4232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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…
Other developmental therapist providers in Herrin
About NPI 1184013955
Krista Teckenbrock's National Provider Identifier is 1184013955, issued on Jan 16, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Herrin, IL. The record was last updated on Jan 16, 2015.