Individual provider · Type 1 NPI

Kiley Shirar

Developmental Therapist · Lafayette, IN

NPI number 1417828500 Active

Practice location

20 Professional Ct
Lafayette, IN 47905-5209

Call (765) 423-7988 Map

Fax (844) 689-1205

Mailing address

10519 E County Road 400 N
Forest, IN 46039-9507

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 1417828500

Kiley Shirar's National Provider Identifier is 1417828500, issued on Sep 13, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lafayette, IN. The record was last updated on Sep 13, 2025.