Provider Demographics
NPI:1659722031
Name:BUCY, BRITTANY
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:BUCY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1587 BOGGERS DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALMO
Mailing Address - State:KY
Mailing Address - Zip Code:42020
Mailing Address - Country:US
Mailing Address - Phone:270-293-4995
Mailing Address - Fax:844-688-4227
Practice Address - Street 1:1587 BOGGERS DRIVE
Practice Address - Street 2:
Practice Address - City:ALMO
Practice Address - State:KY
Practice Address - Zip Code:42020
Practice Address - Country:US
Practice Address - Phone:270-293-4995
Practice Address - Fax:844-688-4227
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY000078163222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist