Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TASHATA RE'KAL JACKSON, COTA
ActiveTASHATA RE'KAL JACKSON, COTA is a Occupational Therapy Assistant healthcare provider located in KILGORE, Texas. NPI 1053892604 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · KILGORE, TX
Registration Details
- NPI Number
- 1053892604
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2018 (7.9368091595553 yrs)
- Last Updated
- Aug 22, 2018
- License
-
212080 (TX)
Practice Information
- Address
-
2700 S HENDERSON BLVDKILGORE, TX, 756624033Browse TX providers · Browse ZIP 75662
- Phone
- 9039843511
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in KILGORE, TX
| Name | Credential | NPI |
|---|---|---|
| MS. KATRINA DENEAN JOHNSON | C.O.T.A. | 1023276318 |
| MRS. ANGELA MATTHEWS ALMANZA | COTA | 1922589563 |
| LANI RENE BLOHM | — | 1417768185 |
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.