Provider Demographics
NPI:1720102296
Name:DAY, LINDA
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:DAY
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:PO BOX 16
Mailing Address - Street 2:3893 HWY 7 S
Mailing Address - City:JEREMIAH
Mailing Address - State:KY
Mailing Address - Zip Code:41826-0016
Mailing Address - Country:US
Mailing Address - Phone:606-634-3605
Mailing Address - Fax:
Practice Address - Street 1:130 WOLFORD ST
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1286
Practice Address - Country:US
Practice Address - Phone:606-634-3605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY01935OtherFIRST STEPS SERVICE PROVI