Provider Demographics
NPI:1073398798
Name:COLLINS, JODI ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:ELIZABETH
Last Name:COLLINS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JODI COLLINS, OTR/L
Mailing Address - Street 1:2344 ELKHORN RD STE 150
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2786
Mailing Address - Country:US
Mailing Address - Phone:606-280-1679
Mailing Address - Fax:
Practice Address - Street 1:2344 ELKHORN RD STE 150
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2786
Practice Address - Country:US
Practice Address - Phone:606-280-1679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist