Individual
ALYSSA HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 MEDLEY CT, VINE GROVE, KY 40175-8421
(502) 435-7506
Mailing address
193 GINGER DR, MOUNT WASHINGTON, KY 40047-5849
(502) 435-7506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
KY
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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