Betty Dyer, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · South Shore, KY
NPI 1912364019 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1912364019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- R4751 (KY)
- Practice address
- 405 SM Roberson Dr
South Shore, KY 41175-9678 - Phone
- (606) 932-3127
- NPI assigned
- Jan 20, 2016
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4751 | KY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R4751 | KY | Yes |
Addresses
Primary practice location
405 SM Roberson Dr
South Shore, KY 41175-9678
Mailing address
PO Box 466
South Portsmouth, KY 41174-0466
Phone (606) 932-3127
Other providers in South Shore, KY
- Shanalee J Branham
- Brick by Brick Mental Health Counseling and Spiritual Guidance
- Philip E Brown
- Katelyn Campbell
- Diversicare Leasing Corp.
- Erica Leigh Fisher
- Jeremy Fisher
- Kaylee Flannery
- Rose Francis
- Sharon Megan Fulton
All providers in South Shore, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. 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.