Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE CAVENAUGH
Active Sole ProprietorJAKE CAVENAUGH is a Occupational Therapy Assistant healthcare provider located in TIFTON, Georgia. NPI 1730508664 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · TIFTON, GA
Registration Details
- NPI Number
- 1730508664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2014 (12.380022153714 yrs)
- Last Updated
- Apr 8, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 SALEM CHURCH RDTIFTON, GA, 317936754Browse GA providers · Browse ZIP 31793
- Phone
- 2293920558
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| AMBER COOPER | — | 1003474875 |
| HOLLY GEORGIANA MOORE | COTA/L | 1396455754 |
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.