Cherriee Michellee Cornett, COTA

Individual provider Active NPI Occupational Therapy Assistant · Greenville, KY

NPI 1891950325 · NPPES record last updated Jul 24, 2008

Key facts

NPI
1891950325
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
KY-A3573 (KY)
Practice address
515 Greene Dr
Greenville, KY 42345-1409
Phone
(270) 338-5400
Fax
(270) 338-2336
NPI assigned
Jul 24, 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

LicenseStateTypeSpecialty
KY-A3573KYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X KY-A3573 KY Yes

Addresses

Primary practice location

515 Greene Dr
Greenville, KY 42345-1409

Mailing address

515 Greene Dr
Greenville, KY 42345-1409
Phone (270) 338-5400

Other providers in Greenville, KY

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

Sources for this page

Verify at the official NPI Registry.