Provider Demographics
NPI:1548396781
Name:HENSLEY, HEATHER (OTR)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HENSLEY
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 1:244 JACK ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:KY
Mailing Address - Zip Code:42409-9737
Mailing Address - Country:US
Mailing Address - Phone:270-639-6205
Mailing Address - Fax:
Practice Address - Street 1:1040 MARKET ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-4855
Practice Address - Country:US
Practice Address - Phone:270-635-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR2792225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist