Provider Demographics
NPI:1750612735
Name:RATCHFORD-SIMMS, HEATHER RENEE (OTR/L)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:RENEE
Last Name:RATCHFORD-SIMMS
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 1:3876 TURKEYFOOT RD
Mailing Address - Street 2:
Mailing Address - City:ELSMERE
Mailing Address - State:KY
Mailing Address - Zip Code:41018-2838
Mailing Address - Country:US
Mailing Address - Phone:859-344-8775
Mailing Address - Fax:859-342-0861
Practice Address - Street 1:3876 TURKEYFOOT RD
Practice Address - Street 2:
Practice Address - City:ELSMERE
Practice Address - State:KY
Practice Address - Zip Code:41018-2838
Practice Address - Country:US
Practice Address - Phone:859-344-8775
Practice Address - Fax:859-342-0861
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR2801225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYR2801OtherOCCUPATIONAL THERAPY LICENCSE