Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT CALEB JACKSON, COTA/L
ActiveBRENT CALEB JACKSON, COTA/L is a Occupational Therapy Assistant healthcare provider located in FLATWOODS, Kentucky. NPI 1386168847 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FLATWOODS, KY
Registration Details
- NPI Number
- 1386168847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2017 (9.0158002492932 yrs)
- Last Updated
- Jul 26, 2017
- License
-
174107 (KY)
Practice Information
- Address
-
1100 GRANDVIEW DRFLATWOODS, KY, 411391024Browse KY providers · Browse ZIP 41139
- Phone
- 6068363187
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in FLATWOODS, KY
| Name | Credential | NPI |
|---|---|---|
| KRISTEN BARCUS | COTA/L | 1881082758 |
| KRISTY LYNN BELL | — | 1386282903 |
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.