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Contact Information

TINA L WAITS, OTRL
101 WINDSOR PATH
GEORGETOWN, KY40324
 Phone: 859-422-4568
 Fax: 859-757-4649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TINA L WAITS · (Female)

NPI Number 1477757763
Status Active
Credentials OTRL
Entity Individual
Enumeration date 06/12/2007
Last updated 11/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 133079
  • KY License # R4758
  • KY Medicaid 7100201870
  • KY Other 133079 KY STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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