Healthcare Provider Details

I. General information

NPI: 1871428706
Provider Name (Legal Business Name): AMY C HANCOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 MAIN ST
FLORENCE KY
41042-2269
US

IV. Provider business mailing address

3260 MCCOWAN DR
TAYLOR MILL KY
41015-4435
US

V. Phone/Fax

Practice location:
  • Phone: 859-980-7200
  • Fax:
Mailing address:
  • Phone: 314-303-8369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number134064
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: