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

Ivonne Gonzalez Hermosillo

Individual provider Occupational Therapist · NPI 1295612083

Ivonne Gonzalez Hermosillo is an Occupational Therapist in Masonic Home, Kentucky. Licensed in Arizona and Kentucky. Registered with an NPI since 2025.

Licensed in
AZ, KY
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3761 Johnson Hall Dr
Masonic Home, KY 40041-9998
Phone: (502) 633-1007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 309141 (KY)
Occupational Therapist Taxonomy 225X00000X · Licence OTH-010080 (AZ)

Record details

NPI number1295612083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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