Individual
SANDRA I. CREECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL INTERV
Contact information
Practice address
2127 HWY160 SOUTH, PREMIUM, KY 41845
(606) 633-4036
(606) 633-4036
Mailing address
2127 HWY160 SOUTH, PREMIUM, KY 41845
(606) 633-4036
(606) 633-4036
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
FS-01838
KY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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