Provider Demographics
NPI:1932084308
Name:DOWNS, AUDREY
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:DOWNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8794 LORETTO RD
Mailing Address - Street 2:
Mailing Address - City:LORETTO
Mailing Address - State:KY
Mailing Address - Zip Code:40037-8937
Mailing Address - Country:US
Mailing Address - Phone:502-331-8508
Mailing Address - Fax:
Practice Address - Street 1:8794 LORETTO RD
Practice Address - Street 2:
Practice Address - City:LORETTO
Practice Address - State:KY
Practice Address - Zip Code:40037-8937
Practice Address - Country:US
Practice Address - Phone:502-331-8508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist