Individual provider · Type 1 NPI

Jennith Brackman, OTR/L

Specialist · Kingston Springs, TN

NPI number 1104012426 Active

Practice location

1001 Sunset Trl
Kingston Springs, TN 37082-5239

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1651 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104012426

Jennith Brackman, OTR/L's National Provider Identifier is 1104012426, issued on Sep 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kingston Springs, TN. The record was last updated on Sep 20, 2007.