Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEENAN JACKSON, OT
ActiveMR. KEENAN JACKSON, OT is a Occupational Therapist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1073856779 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1073856779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2013 (13.361442364672 yrs)
- Last Updated
- Apr 1, 2013
- License
-
3031 (NM)
Practice Information
- Address
-
6301 FOREST HILLS DR NEALBUQUERQUE, NM, 871094137Browse NM providers · Browse ZIP 87109
- Phone
- 5058238399
- Fax
- 5058238324
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| JANINE OSCHNER | OTRL | 1205838976 |
| MR. BRANT A BERMUDEZ | OTR/L,CHT | 1649268988 |
| JUDY BETH DEINEMA | OTRL | 1124094347 |
| MR. JOHN MARK DONOVAN | M.O.T. | 1124081591 |
| TAMMI M WILHAM | OT | 1861429441 |
| DANNIELLE SUZETTE REISNER | — | 1245260462 |
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.