Provider Demographics
NPI:1043400278
Name:SIMPSON, ROBIN MANTOOTH (OTR/L)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MANTOOTH
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1328
Mailing Address - Country:US
Mailing Address - Phone:859-498-8647
Mailing Address - Fax:859-498-8677
Practice Address - Street 1:318 W HIGH ST
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1328
Practice Address - Country:US
Practice Address - Phone:859-498-8647
Practice Address - Fax:859-498-8677
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-R1608225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist