Healthcare Provider Details

I. General information

NPI: 1689539884
Provider Name (Legal Business Name): KARA BURTON OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

401 BOGLE ST
SOMERSET KY
42503-3823
US

IV. Provider business mailing address

401 BOGLE ST STE 206
SOMERSET KY
42503-2850
US

V. Phone/Fax

Practice location:
  • Phone: 606-398-8234
  • Fax: 606-398-8235
Mailing address:
  • Phone: 606-398-8234
  • Fax: 606-398-8235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number302961
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: