Provider Demographics
NPI:1306411558
Name:HIGHT, LORI ANN (MSOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:HIGHT
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4912 US HIGHWAY 42 STE 104
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-6357
Mailing Address - Country:US
Mailing Address - Phone:502-429-8640
Mailing Address - Fax:502-426-2283
Practice Address - Street 1:4912 US HIGHWAY 42 STE 104
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-6357
Practice Address - Country:US
Practice Address - Phone:502-429-8640
Practice Address - Fax:502-426-2283
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY132776225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist