Provider Demographics
NPI:1184868044
Name:YOST, RICHELLE MARGARET (OTR/L)
Entity Type:Individual
Prefix:
First Name:RICHELLE
Middle Name:MARGARET
Last Name:YOST
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 1:2115 LUMBERJACK DR
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-7927
Mailing Address - Country:US
Mailing Address - Phone:859-918-1597
Mailing Address - Fax:
Practice Address - Street 1:7627 EWING BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1818
Practice Address - Country:US
Practice Address - Phone:859-283-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR3132225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist