Provider Demographics
NPI:1962156075
Name:NOEL, ASHLEY LYNN (OTR)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:NOEL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 AHLENA WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40069-9563
Mailing Address - Country:US
Mailing Address - Phone:859-805-0894
Mailing Address - Fax:
Practice Address - Street 1:2625 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:ST CATHARINE
Practice Address - State:KY
Practice Address - Zip Code:40061-9435
Practice Address - Country:US
Practice Address - Phone:859-336-3974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR4053225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation