Rachel Leah Taylor Martin, LPAT 10-26-2015
Individual provider Active NPI Art Therapist · Lyndon, KY
NPI 1821780768 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1821780768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Art Therapist 221700000X
- License
- 166620 (KY)
- Practice address
- 8011 New la Grange Rd Ste 7
Lyndon, KY 40222-4781 - Phone
- (502) 744-7490
- NPI assigned
- May 22, 2023
- 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 |
|---|---|---|---|
| 166620 | KY | MD | Art Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 166620 | KY | Yes |
Addresses
Primary practice location
8011 New la Grange Rd Ste 7
Lyndon, KY 40222-4781
Mailing address
8011 New la Grange Rd Ste 7
Lyndon, KY 40222-4781
Phone (502) 744-7490
Other names
- Rachel L Taylor Martin
Other providers in Lyndon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. 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.