Provider Demographics
NPI:1417238585
Name:MCALISTER, ROBERT BARRON (PHD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BARRON
Last Name:MCALISTER
Suffix:
Gender:M
Credentials:PHD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13505 HUNTERS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-9243
Mailing Address - Country:US
Mailing Address - Phone:502-873-4216
Mailing Address - Fax:502-585-7104
Practice Address - Street 1:845 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203
Practice Address - Country:US
Practice Address - Phone:502-873-4216
Practice Address - Fax:502-585-7104
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-R3924174H00000X
KY133070225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No174H00000XOther Service ProvidersHealth Educator