Mcintyre, Tiffany Rae

Mcintyre, Tiffany Rae is an individual health care provider with primary practice located at 1800 Old Bluegrass Ave , Louisville KY 40215-1168. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mcintyre, Tiffany Rae can be contacted via phone (502) 361-2301.

Contact Information

Primary practice address
1800 Old Bluegrass Ave Louisville KY 40215-1168
Phone: (502) 361-2301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X R3186 Kentucky

Profile Details

NPI number 1205801875
LBN Legal business name Mcintyre, Tiffany Rae
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205801875 NPPES
Kentucky MEDICAID 7100313200

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