Provider Demographics
NPI:1457441883
Name:COVER, AIMEE LOUISE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:LOUISE
Last Name:COVER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 E SUNSET HL
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:KY
Mailing Address - Zip Code:41143-7381
Mailing Address - Country:US
Mailing Address - Phone:606-923-3061
Mailing Address - Fax:
Practice Address - Street 1:374 E SUNSET HL
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-7381
Practice Address - Country:US
Practice Address - Phone:606-923-3061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-R2123225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY88000294Medicaid
KY1785OtherFIRST STEPS
KY1785OtherFIRST STEPS