Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK EMMENDORFER
ActiveJACK EMMENDORFER is a Occupational Therapy Assistant healthcare provider located in CHESTERFIELD, Michigan. NPI 1427831247 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CHESTERFIELD, MI
Registration Details
- NPI Number
- 1427831247
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2023 (2.9957200944791 yrs)
- Last Updated
- Aug 15, 2023
- License
-
5202010112 (MI)
Practice Information
- Address
-
33875 KIELY DRCHESTERFIELD, MI, 480473604Browse MI providers · Browse ZIP 48047
- Phone
- 5867256030
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in CHESTERFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MISS DAWN MARIE HARVEY | COTA | 1417000936 |
| KELLY RAMIREZ | COTA | 1083853998 |
| NAOME THOMS | COTA | 1114495538 |
| OLIVERA AVRAM | — | 1073071643 |
| KAITLYN WYNNE | — | 1952073496 |
| SHAWNA A SARKISIAN | — | 1851160139 |
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.