Provider Demographics
NPI:1700305513
Name:ALVEY, MARI KAITLIN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:MARI
Middle Name:KAITLIN
Last Name:ALVEY
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 LEWIS LN
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-4468
Mailing Address - Country:US
Mailing Address - Phone:502-243-5623
Mailing Address - Fax:502-243-5623
Practice Address - Street 1:2324 LEWIS LN
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-4468
Practice Address - Country:US
Practice Address - Phone:502-243-5623
Practice Address - Fax:502-305-6662
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X, 225XP0200X
KY174792225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100521280Medicaid