Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA MARIE ST. NICHOLAS, PTA
Active Sole ProprietorJENNA MARIE ST. NICHOLAS, PTA is a Occupational Therapist healthcare provider located in KILGORE, Texas. NPI 1053891002 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · KILGORE, TX
Registration Details
- NPI Number
- 1053891002
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2018 (7.8002214513061 yrs)
- Last Updated
- Aug 20, 2018
- License
-
2090656 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 BROADWAY BLVDKILGORE, TX, 756623204Browse TX providers · Browse ZIP 75662
- Phone
- 9039838209
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in KILGORE, TX
| Name | Credential | NPI |
|---|---|---|
| PAMELA KAY HINCH | PTA | 1154541290 |
| MRS. KIMBERLEY ELISABETH WILLIAMS | PTA | 1447456280 |
| MELISSA ANN HAHN | PTA | 1083844252 |
| MRS. JENNIFER HEIL WRIGHT | PTA | 1154637700 |
| CURTIS EVANS | PTA | 1013498666 |
| MARCY ( TANYA ) MARCELLE WORD | — | 1346721123 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.