Individual provider · Type 1 NPI
Jessica Nicole Kistler, OTR
Occupational Therapist · Charleston, IL
Practice location
480 W Polk Ave
Charleston, IL 61920-2557
Mailing address
102 W Pine Dr
Effingham, IL 62401-2954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 056.012923 (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 1467919910
Jessica Nicole Kistler, OTR's National Provider Identifier is 1467919910, issued on Feb 20, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Charleston, IL. The record was last updated on Aug 18, 2026.