Provider Demographics
NPI:1154080364
Name:FERRELL, CHRISTINA J (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:J
Last Name:FERRELL
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 1:160 WHITMAN WAY
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8690
Mailing Address - Country:US
Mailing Address - Phone:502-649-8167
Mailing Address - Fax:
Practice Address - Street 1:160 WHITMAN WAY
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8690
Practice Address - Country:US
Practice Address - Phone:502-649-8167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY274003225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist