John E Isaac, OTR/L

Individual provider Active NPI Occupational Therapist · Hi Hat, KY

NPI 1902635451 · NPPES record last updated Jul 31, 2024

Key facts

NPI
1902635451
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
135365 (KY)
Practice address
PO Box 151
Hi Hat, KY 41636-0151
Phone
(606) 594-0583
Fax
(606) 377-0469
NPI assigned
Jul 31, 2024
Sex
Male
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

LicenseStateTypeSpecialty
135365KYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 135365 KY Yes

Addresses

Primary practice location

PO Box 151
Hi Hat, KY 41636-0151

Mailing address

PO Box 151
Hi Hat, KY 41636-0151
Phone (606) 594-0583

Other providers in Hi Hat, KY

All providers in Hi Hat, KY · Occupational Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.