Provider Demographics
NPI:1134655665
Name:STARKEY, LEEANN ABNEY (OTR)
Entity Type:Individual
Prefix:
First Name:LEEANN
Middle Name:ABNEY
Last Name:STARKEY
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 1:2232 LUTHERAN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-9024
Mailing Address - Country:US
Mailing Address - Phone:502-264-3659
Mailing Address - Fax:
Practice Address - Street 1:2232 LUTHERAN CHURCH RD
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-9024
Practice Address - Country:US
Practice Address - Phone:502-264-3659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY134349225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist