Healthcare Provider Details

I. General information

NPI: 1821153834
Provider Name (Legal Business Name): EMILY REUSCH OCCUPATIONAL THERAPY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WENDELL FOSTERS CAMPUS 815 TRIPLETT ST
OWENSBORO KY
42303
US

IV. Provider business mailing address

815 TRIPLETT ST
OWENSBORO KY
42303-3564
US

V. Phone/Fax

Practice location:
  • Phone: 270-683-4517
  • Fax: 270-852-1490
Mailing address:
  • Phone: 270-683-4517
  • Fax: 270-852-1490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberA2920
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: