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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLIE HEAVISIDES

Active

KYLIE HEAVISIDES is a Developmental Therapist healthcare provider located in VERNON, Connecticut. NPI 1073255881 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · VERNON, CT

Registration Details

NPI Number
1073255881
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2022 (4.3670997570524 yrs)
Last Updated
Apr 12, 2022

Practice Information

Address
6 SOUTH TER
VERNON, CT, 060664425
Browse CT providers · Browse ZIP 06066
Phone
8609515221
Primary Specialty
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.