Provider Demographics
NPI:1245403948
Name:CRABTREE, VICKIE LOU (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:LOU
Last Name:CRABTREE
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 1:6462 HIGHWAY 52 W
Mailing Address - Street 2:
Mailing Address - City:BEATTYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41311-8152
Mailing Address - Country:US
Mailing Address - Phone:606-464-9006
Mailing Address - Fax:606-464-9006
Practice Address - Street 1:6462 HIGHWAY 52 W
Practice Address - Street 2:
Practice Address - City:BEATTYVILLE
Practice Address - State:KY
Practice Address - Zip Code:41311-8152
Practice Address - Country:US
Practice Address - Phone:606-464-9006
Practice Address - Fax:606-464-9006
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1711225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist