MALLORY SULLIVAN 222Q00000X
NPI 1174013841
Developmental Therapist in Magnolia, KY

Active since May 17, 2018
1745 HAMMONSVILLE JONESVILLE RD, MAGNOLIA, KY 42757(270) 766-7598 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Sullivan 222q00000x NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY SULLIVAN 222Q00000X (NPI 1174013841) is an individual developmental therapist in Magnolia, Kentucky and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1174013841
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameMALLORY SULLIVANCredential: 222Q00000X
Location Address1745 HAMMONSVILLE JONESVILLE RDMagnolia, KY 42757-7643
Mailing Address1745 Hammonsville Jonesville RdMagnolia, KY 42757-7643 · (270) 766-7598
Sole ProprietorYes
Enumeration DateMay 17, 2018
NPI 1174013841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
1745 HAMMONSVILLE JONESVILLE RD, Magnolia, KY 42757

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Early Intervention Provider Agency
1745 HAMMONSVILLE JONESVILLE RD
MAGNOLIA, KY 42757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Sullivan's NPI number?

The NPI number for Mallory Sullivan is 1174013841. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Mallory Sullivan located?

Mallory Sullivan practices at 1745 Hammonsville Jonesville Rd, Magnolia, KY 42757. The listed phone number is (270) 766-7598.

What is Mallory Sullivan's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Mallory Sullivan was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.