Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY GAYE TENNYSON, M.ED.
Active Sole ProprietorDevelopmental Therapist · FAIRFIELD, IL
Registration Details
- NPI Number
- 1407981491
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2007 (19.203830063625 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
RR 3 BOX 792FAIRFIELD, IL, 628379598Browse IL providers · Browse ZIP 62837
- Phone
- 6188972430
- Fax
- 6188972441
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in FAIRFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| SHEILA A WALKER | DTV | 1528285053 |
| MRS. JANIE TIBBS | — | 1306002621 |
| DANA LYNN GILBERT | PTA, DT | 1043469786 |
| CHERYL LYNN SAVAGE | DT | 1689971129 |
| KAYLA R STANLEY | — | 1598412793 |
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.