NPI 1225426224

Tierra Jackson

Practitioner Occupational Therapy Assistant Madisonville, KY

Practice location

Address: 1500 Pride Ave, Madisonville, KY 42431-9157
Phone: (270) 821-1813
Fax: (270) 825-2644

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence A5898 (KY)

Other Occupational Therapy Assistant providers in Kentucky →

Registry record

NPI: 1225426224
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2014
Record last updated: 30 Dec 2014

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.