Individual provider · Type 1 NPI
Jackie D. Nickson, OTD, OTR/L
Occupational Therapist · Horn Lake, MS
Practice location
6664 Sinclair Dr
Horn Lake, MS 38637-2598
Fax (662) 393-2673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT1986 (MS) |
| Occupational Therapist | 225X00000X | 1986 (MS) |
| Physical Therapist | 225100000X | None listed |
| Speech-Language Pathologist | 235Z00000X | None listed |
| Occupational Therapy Assistant | 224Z00000X | None listed |
| Physical Therapy Assistant | 225200000X | None listed |
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…
Other occupational therapist providers in Horn Lake
About NPI 1356777411
Jackie D. Nickson, OTD, OTR/L's National Provider Identifier is 1356777411, issued on Sep 20, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Horn Lake, MS. The record was last updated on Jan 12, 2014.