Provider Demographics
NPI:1043695943
Name:WRIGHTSELL, NAKITTA (BACHELOR)
Entity Type:Individual
Prefix:
First Name:NAKITTA
Middle Name:
Last Name:WRIGHTSELL
Suffix:
Gender:F
Credentials:BACHELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 JEFFERY AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-2834
Mailing Address - Country:US
Mailing Address - Phone:773-593-4194
Mailing Address - Fax:
Practice Address - Street 1:518 JEFFERY AVE
Practice Address - Street 2:APT 2
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-2834
Practice Address - Country:US
Practice Address - Phone:773-593-4194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist