Provider Demographics
NPI:1194619502
Name:HANSFORD, AMANDA SUZANNE (COTA/L, OTR/L)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:SUZANNE
Last Name:HANSFORD
Suffix:
Gender:F
Credentials:COTA/L, OTR/L
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:SUZANNE
Other - Last Name:GIRDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:236 BURDINE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-5526
Mailing Address - Country:US
Mailing Address - Phone:606-219-6137
Mailing Address - Fax:
Practice Address - Street 1:200 TOWER CIR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-3480
Practice Address - Country:US
Practice Address - Phone:606-416-5139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist