Provider Demographics
NPI:1073652889
Name:SCOTT, DEANNA HOWARD (OTR)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:HOWARD
Last Name:SCOTT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 ZANDALE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2660
Mailing Address - Country:US
Mailing Address - Phone:859-277-7499
Mailing Address - Fax:859-272-7311
Practice Address - Street 1:856 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-6464
Practice Address - Country:US
Practice Address - Phone:859-539-2844
Practice Address - Fax:859-272-7311
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1233225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics