Individual
KELSEY PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 HALEY RIDGE RD, BROOKSVILLE, KY 41004-7615
(606) 748-3965
Mailing address
170 HALEY RIDGE RD, BROOKSVILLE, KY 41004-7615
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
161875
KY
224Z00000X
Occupational Therapy Assistant
—
KY
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
09/12/2021
Last updated
09/13/2021
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