Provider Demographics
NPI:1841928041
Name:HUNT, TAYLOR (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3761 JOHNSON HALL DR
Mailing Address - Street 2:
Mailing Address - City:MASONIC HOME
Mailing Address - State:KY
Mailing Address - Zip Code:40041-9998
Mailing Address - Country:US
Mailing Address - Phone:502-802-5483
Mailing Address - Fax:
Practice Address - Street 1:3762 JOHNSON HALL DRIVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40041
Practice Address - Country:US
Practice Address - Phone:502-930-7485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY278875225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist