Provider Demographics
NPI:1841790243
Name:DAVIS, AIMEE LEE (MS OTR/L)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:LEE
Last Name:DAVIS
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 1:600 CARPENTER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PARKSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40464-9090
Mailing Address - Country:US
Mailing Address - Phone:606-282-3503
Mailing Address - Fax:
Practice Address - Street 1:120 E REYNOLDS RD STE 3
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-1251
Practice Address - Country:US
Practice Address - Phone:606-282-3503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY240194225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist