Provider Demographics
NPI:1356443832
Name:CLATOS, RUTH (OTR/L)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:CLATOS
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 1:154 ECHO SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-9783
Mailing Address - Country:US
Mailing Address - Phone:502-223-0303
Mailing Address - Fax:
Practice Address - Street 1:1439 US 127-BYPASS NORTH
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-9402
Practice Address - Country:US
Practice Address - Phone:502-320-1307
Practice Address - Fax:502-223-0303
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR0014225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1614OtherKENTUCKY EARLY INTERVENTI