Healthcare Provider Details

I. General information

NPI: 1356271258
Provider Name (Legal Business Name): HEATHER SANDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 HUTCHISON RD
PARIS KY
40361-9005
US

IV. Provider business mailing address

287 HUTCHISON RD
PARIS KY
40361-9005
US

V. Phone/Fax

Practice location:
  • Phone: 859-230-7978
  • Fax:
Mailing address:
  • Phone: 859-230-7978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: