Sheree Ann Clark, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Clay, KY
NPI 1942523634 · NPPES record last updated Mar 9, 2010
Key facts
- NPI
- 1942523634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A1846 (KY)
- Practice address
- 323 Diamond Green Grove Road
Clay, KY 42404 - Phone
- (270) 635-0789
- NPI assigned
- Mar 9, 2010
- 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 |
|---|---|---|---|
| A1846 | KY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A1846 | KY | Yes |
Addresses
Primary practice location
323 Diamond Green Grove Road
Clay, KY 42404
Mailing address
323 Diamond Green Grove Road
Clay, KY 42404
Phone (270) 635-0789
Other providers in Clay, KY
- Baptist Health Madisonville Inc
- Clay Drug Store Inc
- Rhonda Kay Oldham
- Regional Health Care Affiliates Inc
- Regional Health Care Affiliates, Inc
- Norma Simpson
All providers in Clay, 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 Mar 9, 2010. 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.