Individual provider · Type 1 NPI

Jazmine Shaynika Mack, OTD, OTR/L, CLT, CWT

Occupational Therapist · East Chicago, IN

NPI number 1184193328 Active

Practice location

4321 Fir St
East Chicago, IN 46312-3097

Call (219) 392-7400 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X31006812A (IN)
Occupational Therapist Primary 225X00000X056.012705 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1184193328

Jazmine Shaynika Mack, OTD, OTR/L, CLT, CWT's National Provider Identifier is 1184193328, issued on Nov 16, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in East Chicago, IN. The record was last updated on Oct 20, 2026.