Individual provider · Type 1 NPI

Shea Jackson, OTR/L

Occupational Therapist · Paducah, KY

NPI number 1255058475 Active

Practice location

100 Kiana Ct Apt A
Paducah, KY 42001-6767

Call (270) 443-0681 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X280416 (KY)

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 1255058475

Shea Jackson, OTR/L's National Provider Identifier is 1255058475, issued on Oct 27, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Paducah, KY. The record was last updated on Oct 27, 2022.