Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KASSIDY LYNN JACKSON
Active Sole ProprietorKASSIDY LYNN JACKSON is a Occupational Therapist healthcare provider located in PRINCETON, Indiana. NPI 1497465009 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PRINCETON, IN
Registration Details
- NPI Number
- 1497465009
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2022 (3.5467594974138 yrs)
- Last Updated
- Dec 5, 2022
- License
-
99115773A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4000 S TULIP TREE DRPRINCETON, IN, 476702300Browse IN providers · Browse ZIP 47670
- Phone
- 8123872938
- Fax
- 8123872015
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in PRINCETON, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. AMY BETH HECKER | — | 1447272208 |
| JILLIAN KOESTER | OTR | 1386112381 |
| TESSA GRAPER | — | 1992377352 |
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.