NPI 1003633918
Kacey Johnson, COTAL
Practice location
- Address
- 2911 Longview Dr, Jonesboro, AR 72401-5911
- Phone
- (870) 336-0238
- Mailing address
- 329 County Road 485, Rector, AR 72461-8709
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003633918
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Sep 2024
- Record last updated
- 23 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.