Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ali Grace Douglass

Individual provider Developmental Therapist · NPI 1770425928

Ali Grace Douglass is a Developmental Therapist in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

21 Ivey Ct
Bloomington, IL 61701-7851
Phone: (309) 634-6749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)

Record details

NPI number1770425928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address21 Ivey Ct, Bloomington, IL 61701-7851

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