Basic Information
| Provider Information | |||||||||
| NPI: | 1598987414 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VINSEL | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | MARTIN | ||||||||
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| Credential: | MED | ||||||||
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| Mailing Information | |||||||||
| Address1: | 312 WHITTINGTON PKWY STE 20 | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402224925 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5024291249 | ||||||||
| FaxNumber: | 5024291255 | ||||||||
| Practice Location | |||||||||
| Address1: | 312 WHITTINGTON PKWY STE 20 | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402224925 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5024291249 | ||||||||
| FaxNumber: | 5024291255 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 04/18/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 222Q00000X | 200196900 | KY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist |
No ID Information.