Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON HENDERSHOT
ActiveJASON HENDERSHOT is a Occupational Therapy Assistant healthcare provider located in MT ZION, Illinois. NPI 1164831814 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MT ZION, IL
Registration Details
- NPI Number
- 1164831814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2014 (12.059509071266 yrs)
- Last Updated
- Aug 7, 2014
- License
-
057.001330 (IL)
Practice Information
- Address
-
1225 WOODLAND DRTHERAPY DEPTMT ZION, IL, 625491237Browse IL providers · Browse ZIP 62549
- Phone
- 2178642356
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.