Individual provider · Type 1 NPI
Kelsey Waggoner
Developmental Therapist · Gurnee, IL
Practice location
6142 Newbury Ct
Gurnee, IL 60031-4731
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 Gurnee
About NPI 1821567306
Kelsey Waggoner's National Provider Identifier is 1821567306, issued on Nov 14, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Gurnee, IL. The record was last updated on Nov 14, 2018.