Healthcare Provider Details

I. General information

NPI: 1033616263
Provider Name (Legal Business Name): ALISON YEGGY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON NURRE

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 09/12/2025
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HOWARD DR
SHELBYVILLE KY
40065
US

IV. Provider business mailing address

3742 DARWIN AVE
CINCINNATI OH
45211-5404
US

V. Phone/Fax

Practice location:
  • Phone: 502-633-1007
  • Fax:
Mailing address:
  • Phone: 513-328-8189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: