Individual provider · Type 1 NPI

Jaclyn M. Gutierrez, COTA/L

Occupational Therapy Assistant · Henderson, NV

NPI number 1386563906 Active

Practice location

2490 Paseo Verde Pkwy Ste 155
Henderson, NV 89074-7120

Call (702) 515-4009 Map

Mailing address

2785 Audra Faye Ave
Henderson, NV 89052-5002

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X10-1028 (NV)

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 1386563906

Jaclyn M. Gutierrez, COTA/L's National Provider Identifier is 1386563906, issued on Jul 15, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Henderson, NV. The record was last updated on Jul 15, 2026.