Provider Demographics
NPI:1184772949
Name:HURT, MARGARET CAMPBELL (OTRL)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:CAMPBELL
Last Name:HURT
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:JANE
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:1331 TRAVIS DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-7803
Mailing Address - Country:US
Mailing Address - Phone:859-623-5543
Mailing Address - Fax:
Practice Address - Street 1:1331 TRAVIS DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-7803
Practice Address - Country:US
Practice Address - Phone:859-623-5543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR0907225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY01893OtherFIRST STEPS BILLING NUMBE