NPI 1760172845

Jacklyn Nuckols

Practitioner Occupational Therapy Assistant Ansted, WV

Practice location

Address: 96 Tyree St, Ansted, WV 25812-2581
Phone: (304) 658-5271
Mailing address: PO Box 536, Ansted, WV 25812-0536

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence C2433 (WV)

Other Occupational Therapy Assistant providers in West Virginia →

Registry record

NPI: 1760172845
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2023
Record last updated: 11 May 2023

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.