Tina Badgett

NPI #1124287115 in Grayson, Kentucky

Provider Information

NPI Number: 1124287115
Entity Type: Individual
Name: Tina Badgett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 4, 2008
Last Updated: Oct 8, 2010

Practice Location

Address: 149 BLUE BIRD LN
City: Grayson
State: Kentucky
ZIP Code: 41143-8726
Phone: (606) 475-1912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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