Individual
MS. NONA LEE BAZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4937 SPEAKER TRL, MURRAY, KY 42071-5534
(270) 436-2938
(270) 436-2955
Mailing address
4937 SPEAKER TRL, MURRAY, KY 42071-5534
(270) 436-2938
(270) 436-2955
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770744120
NIP
—
Enumeration date
06/18/2008
Last updated
04/14/2014
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