Individual
MRS. MELISSA WALTERS PIERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
90 HOWARD DR, SHELBYVILLE, KY 40065
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RO497
KY
225X00000X
Occupational Therapist
Primary
R0497
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5230080001
NSC#
KY
Enumeration date
04/12/2007
Last updated
06/11/2018
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