Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Lee Petersen, OTR

Individual provider Occupational Therapist · NPI 1962746818

Amanda Lee Petersen, OTR is an Occupational Therapist in Shelbyville, Kentucky. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

90 Howard Dr
Shelbyville, KY 40065-8138
Phone: (502) 633-1007
Fax: (502) 437-0624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1962746818
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESApril 30, 2017

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