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

Lisa Fulkerson

Individual provider Developmental Therapist · NPI 1871271684

Lisa Fulkerson is a Developmental Therapist in Bonnieville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023

Practice location Address checks out

3200 Falling Springs Rd
Bonnieville, KY 42713-7406
Phone: (516) 551-0120
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence 201195751 (KY)

Record details

NPI number1871271684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address3200 Falling Springs Rd, Bonnieville, KY 42713-7406

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