NPI 1073255881

Kylie Heavisides

Practitioner Developmental Therapist Vernon, CT

Practice location

Address: 6 South Ter, Vernon, CT 06066-4425
Phone: (860) 951-5221

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1073255881
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2022
Record last updated: 12 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.