Trenton Schraner, COTA

Individual provider Active NPI Occupational Therapy Assistant · Lewisport, KY

NPI 1487327912 · NPPES record last updated Jul 30, 2021

Key facts

NPI
1487327912
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32003285A (IN)
Practice address
8005 US Highway 60 W
Lewisport, KY 42351-7079
Phone
(270) 295-6756
NPI assigned
Jul 30, 2021
Sex
Male
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
32003285AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32003285A IN Yes

Addresses

Primary practice location

8005 US Highway 60 W
Lewisport, KY 42351-7079

Mailing address

10898 Urban Rd
Derby, IN 47525
Phone (812) 719-7511

Other providers in Lewisport, KY

All providers in Lewisport, KY · Occupational Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.