Kelley Basham, OTA
Individual provider Active NPI Occupational Therapy Assistant · Louisville, KY
NPI 1851568034 · NPPES record last updated May 15, 2008
Key facts
- NPI
- 1851568034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A2664 (KY)
- Practice address
- 825 S 6TH St
Louisville, KY 40203-2123 - Phone
- (502) 568-1000
- Fax
- (502) 568-1015
- NPI assigned
- May 15, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A2664 | KY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A2664 | KY | Yes |
Addresses
Primary practice location
825 S 6TH St
Louisville, KY 40203-2123
Mailing address
825 S 6TH St
Louisville, KY 40203-2123
Phone (502) 568-1000
Other providers in Louisville, KY
- Matthew C Bartram
- Ashutosh Jayant Barve
- Paula A Base
- Allison Nicole Baseheart
- Jennifer Bash
- Kerry Basham
- Ross Basham
- Samantha Ann Basham
- Yasier A Basheer-Gowi
- Humera Bashir
All providers in Louisville, 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 May 15, 2008. 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.