Individual provider · Type 1 NPI

Kacey Johnson, COTA/L

Occupational Therapy Assistant · Jonesboro, AR

NPI number 1003633918 Active

Practice location

2911 Longview Dr
Jonesboro, AR 72401-5911

Mailing address

329 County Road 485
Rector, AR 72461-8709

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A2002 (AR)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003633918

Kacey Johnson, COTA/L's National Provider Identifier is 1003633918, issued on Sep 23, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jonesboro, AR. The record was last updated on Sep 23, 2024.