Individual
JACQUELYN HIEATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15937 LONG MEADOW WAY, LOUISVILLE, KY 40245-5895
(502) 417-7484
Mailing address
15937 LONG MEADOW WAY, LOUISVILLE, KY 40245-5895
(502) 417-7484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R3506
KY
Other
Enumeration date
05/10/2007
Last updated
02/23/2022
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