Dana Rae Boyle, MS, OTR/L

Individual provider Active NPI Occupational Therapist · Nicholasville, KY

NPI 1770940926 · NPPES record last updated Jan 19, 2016

Key facts

NPI
1770940926
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
R2807 (KY)
Practice address
100 Sparks Ave
Nicholasville, KY 40356-1004
Phone
(859) 885-4171
NPI assigned
Jan 19, 2016
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R2807KYMDAnesthesiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R2807 KY Yes

Addresses

Primary practice location

100 Sparks Ave
Nicholasville, KY 40356-1004

Mailing address

401 Thames Cir
Nicholasville, KY 40356-9518
Phone (859) 797-7576

Other providers in Nicholasville, KY

All providers in Nicholasville, KY · Occupational Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.