IndividualActive
Amanda Petersen, OTR
NPI 1962746818 · Pediatric Occupational Therapist · Shelbyville, KY
Provider details
- NPI number
- 1962746818
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
Practice location
90 Howard Dr
Shelbyville, KY 40065-8138
Phone: (502) 633-1007
Fax: (502) 437-0624
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2017-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.