Provider Demographics
NPI:1356661912
Name:LEMEN, KAY E (PTA)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:E
Last Name:LEMEN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:958 HIGHWAY 46 E
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-7600
Mailing Address - Country:US
Mailing Address - Phone:812-933-1402
Mailing Address - Fax:812-933-1505
Practice Address - Street 1:958 HIGHWAY 46 E
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-7600
Practice Address - Country:US
Practice Address - Phone:812-933-1402
Practice Address - Fax:812-933-1505
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06000245A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant