Provider Demographics
NPI:1336584580
Name:SAINATO, RACHEAL D (COTA/L)
Entity Type:Individual
Prefix:
First Name:RACHEAL
Middle Name:D
Last Name:SAINATO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4645 US HIGHWAY 62 W
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42345-4475
Mailing Address - Country:US
Mailing Address - Phone:270-977-9979
Mailing Address - Fax:
Practice Address - Street 1:460 S COLLEGE ST
Practice Address - Street 2:HOPKINS CENTER
Practice Address - City:WOODBURN
Practice Address - State:KY
Practice Address - Zip Code:42170-9638
Practice Address - Country:US
Practice Address - Phone:270-529-2853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA5508224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant