Individual provider · Type 1 NPI

Jacklyn Nuckols

Occupational Therapy Assistant · Ansted, WV

NPI number 1760172845 Active

Practice location

96 Tyree St
Ansted, WV 25812-2581

Mailing address

PO Box 536
Ansted, WV 25812-0536

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XC2433 (WV)

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 1760172845

Jacklyn Nuckols's National Provider Identifier is 1760172845, issued on May 11, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ansted, WV. The record was last updated on May 11, 2023.