Individual provider · Type 1 NPI

Sherry Renee Boles, M.A.E.

Developmental Therapist · Fountain Run, KY

NPI number 1881853109 Active

Practice location

1853 Bewleytown Rd
Fountain Run, KY 42133-8573

Fax (270) 434-3433

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…

About NPI 1881853109

Sherry Renee Boles, M.A.E.'s National Provider Identifier is 1881853109, issued on Jun 2, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fountain Run, KY. The record was last updated on Nov 15, 2014.