Provider Demographics
NPI:1457160871
Name:PARRISH, CASEY JOLLY (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:JOLLY
Last Name:PARRISH
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VINSON CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6293
Mailing Address - Country:US
Mailing Address - Phone:270-404-0336
Mailing Address - Fax:
Practice Address - Street 1:1100 VINSON CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-6293
Practice Address - Country:US
Practice Address - Phone:270-404-0336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY136042225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty