Autumn Kimberlee Baisden, OTR/L

Individual provider Active NPI Occupational Therapist · South Williamson, KY

NPI 1346846359 · NPPES record last updated Dec 7, 2020

Key facts

NPI
1346846359
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
260970 (KY)
Practice address
260 Hospital Dr
South Williamson, KY 41503-4072
Phone
(606) 237-1700
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
260970KYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 260970 KY Yes

Addresses

Primary practice location

260 Hospital Dr
South Williamson, KY 41503-4072

Mailing address

260 Hospital Dr
South Williamson, KY 41503-4072
Phone (606) 237-1700

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address abaisden1@arh.org Direct

Other providers in South Williamson, KY

All providers in South Williamson, KY · Occupational Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.