Individual
JAMIE LYNN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
993 MASON HEADLEY RD, LEXINGTON, KY 40504-2246
(859) 367-7127
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 367-7127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131972
KY
225XP0200X
Pediatric Occupational Therapist
131972
KY
Other
Enumeration date
12/27/2019
Last updated
04/13/2021
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