Provider Demographics
NPI:1225293616
Name:ALLEY, REBECCA ASHLEY (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ASHLEY
Last Name:ALLEY
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:ASHLEY
Other - Last Name:DISHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:259 PARKERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-3152
Mailing Address - Country:US
Mailing Address - Phone:606-678-2821
Mailing Address - Fax:
Practice Address - Street 1:259 PARKERS MILL RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-3152
Practice Address - Country:US
Practice Address - Phone:606-678-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR3538225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist