Healthcare Provider Details

I. General information

NPI: 1083519367
Provider Name (Legal Business Name): JAIME B MUELLER MED, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 WOODLAND PASS
MOUNT WASHINGTON KY
40047-5824
US

IV. Provider business mailing address

551 WOODLAND PASS
MOUNT WASHINGTON KY
40047-5824
US

V. Phone/Fax

Practice location:
  • Phone: 502-931-9150
  • Fax:
Mailing address:
  • Phone: 502-931-9150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number132313
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: