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NPI Code Detail

MEDICARE: SARA DAVIS

MEDICARE:   SARA  DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist171664KY

General Provider Information

NPI Number : 1427547108
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA DAVIS
Provider Business Mailing Address
First Line : 90 HOWARD DR
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-8138
Country : US
Telephone Number : 502-633-1007
Fax Number : 502-437-0624
Provider Business Practice Location Address
First Line : 90 HOWARD DR
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-8138
Country : US
Telephone Number : 502-633-1007
Fax Number : 502-437-0624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2018
Last Update Date : 05/29/2026

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Directions to “ SARA DAVIS ” Practice Location

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