Provider Demographics
NPI:1154955706
Name:CLAY, LEXIE JO (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LEXIE
Middle Name:JO
Last Name:CLAY
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 1:298 RAVENS LN
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:KY
Mailing Address - Zip Code:41143-9196
Mailing Address - Country:US
Mailing Address - Phone:606-255-6856
Mailing Address - Fax:
Practice Address - Street 1:298 RAVENS LN
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-9196
Practice Address - Country:US
Practice Address - Phone:606-255-6856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-22
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY261248225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist