Nanette Nicole Byrd, COTA

Individual provider Active NPI Occupational Therapy Assistant · Louisville, KY

NPI 1508327230 · NPPES record last updated Mar 26, 2019

Key facts

NPI
1508327230
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
243750 (KY)
Practice address
9700 Stonestreet Rd
Louisville, KY 40272-2884
Phone
(502) 791-9486
NPI assigned
Mar 26, 2019
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

LicenseStateTypeSpecialty
243750KYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 243750 KY Yes

Addresses

Primary practice location

9700 Stonestreet Rd
Louisville, KY 40272-2884

Mailing address

9700 Stonestreet Rd
Louisville, KY 40272-2884
Phone (502) 791-9486

Other providers in Louisville, KY

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

Sources for this page

Verify at the official NPI Registry.