Provider Demographics
NPI:1851083844
Name:BROWNING, MAKAYLA (COTA/L, PM)
Entity Type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:
Last Name:BROWNING
Suffix:
Gender:F
Credentials:COTA/L, PM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:946 GOSS AVE APT 1320
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-2276
Mailing Address - Country:US
Mailing Address - Phone:859-486-3189
Mailing Address - Fax:
Practice Address - Street 1:946 GOSS AVE APT 1320
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-2276
Practice Address - Country:US
Practice Address - Phone:859-486-3189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168554224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant