Individual provider · Type 1 NPI

Tashata Re'kal Jackson, COTA

Occupational Therapy Assistant · Kilgore, TX

NPI number 1053892604 Active

Practice location

2700 S Henderson Blvd
Kilgore, TX 75662-4033

Mailing address

6860 Dallas Pkwy Ste 550
Plano, TX 75024-4252

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X212080 (TX)

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 1053892604

Tashata Re'kal Jackson, COTA's National Provider Identifier is 1053892604, issued on Aug 22, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Kilgore, TX. The record was last updated on Aug 22, 2018.