Individual provider · Type 1 NPI

Jacob Clevenger, OTR/L

Occupational Therapist · Murray, KY

NPI number 1639711559 Active · reactivated Jan 4, 2023

Practice location

1710 KY-121 Suite K
Murray, KY 42071

Call (270) 767-6397 Map

Mailing address

2110 Vintage Hills Dr Apt A
Murray, KY 42071-4780

Specialties and licenses

Taxonomy	Code	License
Occupational Therapist Primary	225X00000X	280029 (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 1639711559

Jacob Clevenger, OTR/L's National Provider Identifier is 1639711559, issued on Oct 11, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Murray, KY. The record was last updated on Jan 9, 2023.