Healthcare Provider Details

I. General information

NPI: 1033383914
Provider Name (Legal Business Name): BETTY J LAY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 10/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 ABRAHAM FLEXNER WAY SUITE 650
LOUISVILLE KY
40202-3838
US

IV. Provider business mailing address

225 ABRAHAM FLEXNER WAY SUITE 650
LOUISVILLE KY
40202-3838
US

V. Phone/Fax

Practice location:
  • Phone: 502-561-4295
  • Fax: 502-562-0348
Mailing address:
  • Phone: 502-561-4295
  • Fax: 502-562-0348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberR2738
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberR2738
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: