Provider Demographics
NPI:1558130781
Name:GABBARD, NATALIE (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:GABBARD
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N GREENVILLE ST
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-1241
Mailing Address - Country:US
Mailing Address - Phone:606-216-3955
Mailing Address - Fax:
Practice Address - Street 1:180 LUCKY MAN WAY
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-8978
Practice Address - Country:US
Practice Address - Phone:859-734-2953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY289424225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist