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

Individual provider Developmental Therapist · NPI 1922714005

Mikayla Bonzo, IECE is a Developmental Therapist in Wurtland, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

58 Van Buren Ave
Wurtland, KY 41144-6238
Phone: (606) 694-2362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1922714005
Entity typeIndividual (Type 1)
GenderFemale
Credentials IECE
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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