RAISSA J SMITH OTR/L
NPI 1881006419
Clinic/Center - Multi-Specialty in Louisville, KY
- Individual
- Female
- Clinic/Center
- Multi-Specialty
About RAISSA SMITH
This page provides the complete NPI Profile along with additional information for Raissa Smith, a provider established in Louisville, Kentucky with a medical specialization in Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1881006419 assigned on June 2014. The practitioner's primary taxonomy code is 261QM1300X with license number 134651 (KY). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1881006419 Verify this NPI
- Provider Name
- RAISSA J SMITH OTR/L
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3501 FENWICK PARK PL APT F LOUISVILLE, KY 40220
- Location Phone
- (606) 584-9999
- Mailing Address
- 3501 FENWICK PARK PL APT F LOUISVILLE, KY 40220
- Mailing Phone
- (606) 584-9999
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-02-2014
- Last Update Date
- 09-14-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 134651
- License State
- KY
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881006419, enumerated as an "individual" on June 02, 2014.
The provider is located at 3501 FENWICK PARK PL APT F LOUISVILLE, KY 40220 and the phone number is (606) 584-9999.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
