MS. Teresa Danielle Ridener Wyatt

Individual provider Early Intervention Provider Agency · NPI 1245082783

MS. Teresa Danielle Ridener Wyatt is an Early Intervention Provider Agency in Whitley City, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since: 2024
Specialties on file: 2

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 745
Whitley City, KY 42653-0745
Phone: (606) 310-0777

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

Specialties & licences

Developmental Therapist (primary)	Taxonomy 222Q00000X
Early Intervention Provider Agency	Taxonomy 252Y00000X

Record details

NPI number	1245082783
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	April 5, 2024
Last updated in NPPES	May 3, 2024
Certification date	May 3, 2024