Individual
MISS KATHLYN REEVES CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
112 DOVER DRIVE DOVER MANOR, GEORGETOWN, KY 40324
(502) 863-9529
Mailing address
10133 SHERRILL BLVD #200 FUNCTIONAL PATHWAYS, KNOXVILLE, TN 37932
(888) 531-2204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
240168
KY
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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