Healthcare Provider Details

I. General information

NPI: 1528037389
Provider Name (Legal Business Name): HAYLEY D. THORPE OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1048 ASHLEY ST SUITE 201
BOWLING GREEN KY
42103-2449
US

IV. Provider business mailing address

5429 OLD SCOTTSVILLE RD
ALVATON KY
42122-9759
US

V. Phone/Fax

Practice location:
  • Phone: 270-904-6567
  • Fax: 270-904-6570
Mailing address:
  • Phone: 270-535-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberR2566
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number132712
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: