Provider Demographics
NPI:1750145447
Name:PHILLIPS, MARGARET LAYTON (MSOT, OTR/L)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LAYTON
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 MIDWAY ST APT A
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:KY
Mailing Address - Zip Code:42211-6142
Mailing Address - Country:US
Mailing Address - Phone:270-350-2042
Mailing Address - Fax:
Practice Address - Street 1:127 MIDWAY ST APT A
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:KY
Practice Address - Zip Code:42211-6142
Practice Address - Country:US
Practice Address - Phone:270-350-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY288667225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist