NPI 1932874385

Mary Randall Ivy, MSDE

Practitioner Developmental Therapist Brentwood, MO

Practice location

Address: 1314 Strassner Dr, Brentwood, MO 63144-1873
Phone: (314) 918-1369
Fax: (314) 918-1609

Registered specialties

Developmental Therapist Primary

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

Other Developmental Therapist providers in Missouri →

Registry record

NPI: 1932874385
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2021
Record last updated: 9 Aug 2021

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.