Healthcare Provider Details

I. General information

NPI: 1437480241
Provider Name (Legal Business Name): JENNIFER HIGHT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2010
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2174 RUPPARD DR
RICHMOND KY
40475-9207
US

IV. Provider business mailing address

2174 RUPPARD DR
RICHMOND KY
40475-9207
US

V. Phone/Fax

Practice location:
  • Phone: 859-979-1298
  • Fax: 888-808-1303
Mailing address:
  • Phone: 859-979-1298
  • Fax: 188-880-8130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberR4342
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: