Provider Demographics
NPI:1356054886
Name:SPEDDING, YOLANDA RAE
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:RAE
Last Name:SPEDDING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1586 HIGBEE MILL RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-4145
Mailing Address - Country:US
Mailing Address - Phone:304-282-5811
Mailing Address - Fax:
Practice Address - Street 1:1586 HIGBEE MILL RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-4145
Practice Address - Country:US
Practice Address - Phone:304-282-5811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV490225X00000X
PAOC019031225X00000X
COOT.0007795225X00000X
KY282982225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist