NPI 1790814788

Melena Outlaw, BA

Practitioner Developmental Therapist Jenkins, KY

Practice location

Address: 457 Bentley Loop, Jenkins, KY 41537-9004
Phone: (606) 832-1473
Fax: (606) 832-0397
Mailing address: PO Box 1403, Jenkins, KY 41537-1403

Registered specialties

Developmental Therapist Primary

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

Other Developmental Therapist providers in Kentucky →

Registry record

NPI: 1790814788
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2007
Record last updated: 15 Oct 2014

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.