Individual provider · Type 1 NPI

Lisa Waggener, OTR/L

Occupational Therapist · Jackson, TN

NPI number 1922289867 Active

Practice location

620 Skyline Dr
Jackson, TN 38301-3923

Mailing address

441 E Chester St, Suite 104
Jackson, TN 38301-6313

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3085 (TN)

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 1922289867

Lisa Waggener, OTR/L's National Provider Identifier is 1922289867, issued on Nov 20, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jackson, TN. The record was last updated on Dec 10, 2012.