Kelly Anderson, COTA
Individual provider Active NPI Occupational Therapy Assistant · Winchester, KY
NPI 1750632014 · NPPES record last updated Sep 27, 2012
Key facts
- NPI
- 1750632014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A5335 (KY)
- Practice address
- 9 Waveland Ave
Winchester, KY 40391-1231 - Phone
- (855) 584-5845
- Fax
- (800) 584-1465
- NPI assigned
- Sep 27, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A5335 | KY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A5335 | KY | Yes |
Addresses
Primary practice location
9 Waveland Ave
Winchester, KY 40391-1231
Mailing address
9 Waveland Ave
Winchester, KY 40391-1231
Phone (855) 584-5845
Other providers in Winchester, KY
- Kayla Autumn Albright
- Allen-Clark Speech/Language Rehab. Services, Inc
- Jayne M Allen
- Alvarado Medical Services PLLC
- Ralph A. Alvarado
- David Brian Andreas
- Anita a Gray DDS PA PSC
- Ann K Farrer DPM PSC
- Susan Armani
- Arnold Healing
All providers in Winchester, 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 Sep 27, 2012. 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.