Individual provider · Type 1 NPI

Jana Rae Church, IECE

Developmental Therapist · Grayson, KY

NPI number 1730877697 Active

Practice location

361 Windburn Ln
Grayson, KY 41143-8372

Call (606) 475-9564 Map

Mailing address

225 Dwight St
Flatwoods, KY 41139-9026

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 1730877697

Jana Rae Church, IECE's National Provider Identifier is 1730877697, issued on Apr 28, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Grayson, KY. The record was last updated on May 25, 2023.