Provider Demographics
NPI:1861218265
Name:STENDEL, ANDREA HELEN (OT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:HELEN
Last Name:STENDEL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 LEIMAUR DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2229
Mailing Address - Country:US
Mailing Address - Phone:859-625-2963
Mailing Address - Fax:
Practice Address - Street 1:290 ALUMNI DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1601
Practice Address - Country:US
Practice Address - Phone:859-218-2322
Practice Address - Fax:859-257-0284
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY296725225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist