Michelle Bradford, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Winchester, KY

NPI 1871986224 · NPPES record last updated Mar 10, 2015

Key facts

NPI
1871986224
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
9 Waveland Ave
Winchester, KY 40391-1231
Phone
(855) 584-5845
Fax
(855) 584-7323
NPI assigned
Mar 10, 2015
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 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

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

Sources for this page

Verify at the official NPI Registry.