Kaelyn Broell, OTD
Occupational Therapist in Mount Washington, KY. Individual provider (NPI-1).
NPI number1467199331
StatusActive
Last updated in NPPESMay 12, 2022
Details
- NPI
- 1467199331
- Entity type
- Individual (NPI-1)
- Name
- Kaelyn Broell
- Credential
- OTD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2022
- Certification date
- May 12, 2022
- Last updated
- May 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 277298 | KY | Yes |
Practice location
520 Woodlake DrMount Washington, KY 40047-5123
Phone 502-538-3172
Mailing address
131 N Howard StBardstown, KY 40004-8115
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