Provider Demographics
NPI:1518115492
Name:GALLOWAY, DANA SUTER (OTR/L, RN,BSN)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:SUTER
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:OTR/L, RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 OAK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1504
Mailing Address - Country:US
Mailing Address - Phone:859-971-3430
Mailing Address - Fax:
Practice Address - Street 1:4604 OAK CREEK DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-1504
Practice Address - Country:US
Practice Address - Phone:859-971-3430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1101625163W00000X
KYRO973225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No163W00000XNursing Service ProvidersRegistered Nurse