Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACKE KHANTIVONG, OTR/L
Active Sole ProprietorMS. JACKE KHANTIVONG, OTR/L is a Occupational Therapist healthcare provider located in DENVER, Colorado. NPI 1619114485 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DENVER, CO
Registration Details
- NPI Number
- 1619114485
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2009 (17.578284192642 yrs)
- Last Updated
- Aug 31, 2010
- Licenses
-
003380 (CT)2191 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1247 S RACE STDENVER, CO, 802101817Browse CO providers · Browse ZIP 80210
- Phone
- 8603061384
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in DENVER, CO
| Name | Credential | NPI |
|---|---|---|
| MS. DENISE CAROL ORIN | OTR | 1538158308 |
| MR. WILLIAM M SMITHAM | OTR | 1073502878 |
| MRS. CYNTHIA CANO | OTR | 1821079468 |
| VICKIE L HEALY | OT | 1952382574 |
| MR. MATTHEW ALAN REMBAUM | OT | 1841277860 |
| NANCY COLLINS SIMONE | OTR | 1487625026 |
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.