Provider Demographics
NPI:1750524179
Name:TINSLEY, NATALIE JANE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:JANE
Last Name:TINSLEY
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 1:240 MASONIC HOME DR
Mailing Address - Street 2:
Mailing Address - City:MASONIC HOME
Mailing Address - State:KY
Mailing Address - Zip Code:40041-9000
Mailing Address - Country:US
Mailing Address - Phone:502-753-8850
Mailing Address - Fax:502-753-8951
Practice Address - Street 1:240 MASONIC HOME DR
Practice Address - Street 2:
Practice Address - City:MASONIC HOME
Practice Address - State:KY
Practice Address - Zip Code:40041-9000
Practice Address - Country:US
Practice Address - Phone:502-753-8850
Practice Address - Fax:502-753-8951
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR0723225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist