Ashley Nicole Raisor, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Ekron, KY
NPI 1902235682 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1902235682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 1035 Osborne Rd
Ekron, KY 40117-7914 - Phone
- (270) 501-0204
- NPI assigned
- Nov 4, 2013
- 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 |
|---|---|---|---|
| 212411 | TX | MD | Occupational Therapy Assistant |
| A5652 | KY | MD | Feeding, Eating & Swallowing Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 212411 | TX | |
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | A5652 | KY | |
| Occupational Therapy Assistant | 224Z00000X | KY | Yes |
Addresses
Primary practice location
1035 Osborne Rd
Ekron, KY 40117-7914
Mailing address
1035 Osborne Rd
Ekron, KY 40117-7914
Phone (270) 501-0204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B07594491 | Other | KY | DRIVERS LICENSE |
Other providers in Ekron, KY
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Michelle Maria Jenkins
- Charity Danielle Mattingly
- Robin Lynn Terry
- Cynthia R Ware
All providers in Ekron, 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 Oct 21, 2021. 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.