Provider Demographics
NPI:1285668129
Name:PEET, JOYCE (OT)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:PEET
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 REGENCY RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2921
Mailing Address - Country:US
Mailing Address - Phone:859-224-0834
Mailing Address - Fax:859-224-0882
Practice Address - Street 1:2520 REGENCY RD
Practice Address - Street 2:SUITE 150
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2921
Practice Address - Country:US
Practice Address - Phone:859-224-0834
Practice Address - Fax:859-224-0882
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1440225X00000X
KYBOTOCT00220296225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYBOTOCT00220296OtherKENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY