Provider Demographics
NPI:1932805199
Name:COFFEE, ALETHEA CHRISTINE (IECE CERTIFIED)
Entity type:Individual
Prefix:
First Name:ALETHEA
Middle Name:CHRISTINE
Last Name:COFFEE
Suffix:
Gender:F
Credentials:IECE CERTIFIED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-8310
Mailing Address - Country:US
Mailing Address - Phone:502-321-1069
Mailing Address - Fax:
Practice Address - Street 1:143 PLANTATION DR
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-8310
Practice Address - Country:US
Practice Address - Phone:502-321-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist