NPI 1063160992

Haley Jackson, COTA

Practitioner Occupational Therapy Assistant Overland Park, KS

Practice location

Address: 12100 W 109th St, Overland Park, KS 66210-1200
Phone: (913) 469-4210
Mailing address: 529 Southshore Dr, Lake Winnebago, MO 64034-7815

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 18-01524 (KS)

Other Occupational Therapy Assistant providers in Kansas →

Registry record

NPI: 1063160992
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2022
Record last updated: 10 Mar 2022

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.