Trisha Ann Conklin
Developmental Therapist in Almo, KY. Individual provider (NPI-1).
NPI number1003513698
StatusActive
Last updated in NPPESFeb 14, 2023
Details
- NPI
- 1003513698
- Entity type
- Individual (NPI-1)
- Name
- Trisha Ann Conklin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2023
- Certification date
- Feb 14, 2023
- Last updated
- Feb 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Other names
- Trisha Ann Moffett (Former Name)
Practice location
1171 Short RdAlmo, KY 42020-9392
Phone 270-978-3352
Mailing address
1171 Short RdAlmo, KY 42020-9392
Phone 270-978-3352
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