Provider Demographics
NPI:1891700324
Name:BARNHART, LAURA R (OT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:R
Last Name:BARNHART
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 US HIGHWAY 127 S
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4326
Mailing Address - Country:US
Mailing Address - Phone:502-226-2064
Mailing Address - Fax:502-875-9296
Practice Address - Street 1:1040 US HIGHWAY 127 S
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4326
Practice Address - Country:US
Practice Address - Phone:502-226-2064
Practice Address - Fax:502-875-9296
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5016225X00000X
KYR4392225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC136EGOtherBCBS NC
NC7301874Medicaid
NC184159OtherMEDCOST NC