Provider Demographics
NPI:1265749014
Name:ROBINETTE, TIMMI MISHAY
Entity type:Individual
Prefix:
First Name:TIMMI
Middle Name:MISHAY
Last Name:ROBINETTE
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 1:291 DEADENING FRK
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-6923
Mailing Address - Country:US
Mailing Address - Phone:606-213-1715
Mailing Address - Fax:
Practice Address - Street 1:291 DEADENING FRK
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-6923
Practice Address - Country:US
Practice Address - Phone:606-213-1715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist