Provider Demographics
NPI:1184443400
Name:HORTON, JANEE MARSHAI
Entity type:Individual
Prefix:
First Name:JANEE
Middle Name:MARSHAI
Last Name:HORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANEE
Other - Middle Name:MARSHAI
Other - Last Name:HORTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTD,OTR
Mailing Address - Street 1:7071 RED APPLE RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4895
Mailing Address - Country:US
Mailing Address - Phone:615-803-3697
Mailing Address - Fax:
Practice Address - Street 1:1595 MARIE DR
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-4903
Practice Address - Country:US
Practice Address - Phone:270-962-2462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY295198225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation