NPI 1003700303

Jared Tyler Whittaker

Practitioner Occupational Therapy Assistant Roanoke, VA

Practice location

Address: 650 N Jefferson St, Roanoke, VA 24016-1427
Phone: (540) 293-8087

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 0131003017 (VA)

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Registry record

NPI: 1003700303
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2025
Record last updated: 3 Jun 2025

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.