Nicole Corral, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Elizabethtown, KY
NPI 1346908290 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1346908290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 274141 (KY)
- Practice address
- 529 Westport Rd
Elizabethtown, KY 42701-2923 - Phone
- (270) 467-7700
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274141 | KY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 274141 | KY | Yes |
Addresses
Primary practice location
529 Westport Rd
Elizabethtown, KY 42701-2923
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Other providers in Elizabethtown, KY
- Mariah Kate Corbin
- Paula B Cordova
- Tyler Mason Corey
- Lauren N Cornelius
- Cornerstone Caregiving East LLC
- Sherri Lynn Corriveau
- Aaron Scott Cossitt
- Kimberly Cote
- Jennifer Cothern
- Jonathan Darrell Cottrell Jr.
All providers in Elizabethtown, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.