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NPI Code Detail

MEDICARE: MRS. MELISSA DANIELLE CARPENTER OTR/L

MEDICARE: MRS. MELISSA DANIELLE CARPENTER OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist267587KY

General Provider Information

NPI Number : 1730030230
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA DANIELLE CARPENTER OTR/L
Provider Business Mailing Address
First Line : 2213 DOGWOOD TRACE BLVD
Second Line :
City : LEXINGTON
State : KY
Zip : 40514-2417
Country : US
Telephone Number : 606-273-8492
Fax Number :
Provider Business Practice Location Address
First Line : 233 RUCCIO WAY
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-3584
Country : US
Telephone Number : 606-273-8492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ MRS. MELISSA DANIELLE CARPENTER OTR/L” Practice Location

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