Mary Jane Darnell, COTA
Individual provider Active NPI Occupational Therapy Assistant · Benton, KY
NPI 1447419031 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1447419031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- KY-A3613 (KY)
- Practice address
- 2607 Main Street
Benton, KY 42025 - Phone
- (270) 527-0147
- NPI assigned
- Jun 9, 2008
- 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 |
|---|---|---|---|
| 057.002750 | IL | MD | Occupational Therapy Assistant |
| KY-A3613 | KY | MD | Occupational Therapy Assistant |
| 2006019734 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | KY-A3613 | KY | Yes |
| Occupational Therapy Assistant | 224Z00000X | 057.002750 | IL | |
| Occupational Therapy Assistant | 224Z00000X | 2006019734 | MO |
Addresses
Primary practice location
2607 Main Street
Benton, KY 42025
Mailing address
2607 Main Street
Benton, KY 42025
Other providers in Benton, KY
- Meredith A Crider
- Rebecca Jean Crider
- Levi Crossley
- Andrew Steven Cude
- Timothy Allen Cude
- Rhonda K Darnell
- David E. Cassity PLLC
- Bruce S David
- Allison Sortino Davis
- Teresa Davis
All providers in Benton, KY · Occupational Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. 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.