Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN CRADDOCK
Active Sole ProprietorJACLYN CRADDOCK is a Occupational Therapist healthcare provider located in ANTIOCH, Tennessee. NPI 1992272959 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ANTIOCH, TN
Registration Details
- NPI Number
- 1992272959
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2018 (7.7862642897918 yrs)
- Last Updated
- Oct 29, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
889 BELL RD STE AANTIOCH, TN, 370133101Browse TN providers · Browse ZIP 37013
- Phone
- 8003812195
- Fax
- 8883810822
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in ANTIOCH, TN
| Name | Credential | NPI |
|---|---|---|
| JOSEPH TIMOTHY GRAGG | OTR/L | 1205092830 |
| MS. YULONDA CRUMP | OT/L CPAM | 1356686489 |
| NATALIE BUTLER | OTR/L | 1497264832 |
| TERISA REIMSCHISEL | OTR/L | 1568951804 |
| JOHANNA GROSE | OT | 1760036289 |
| MR. ROBERT LEE KELLEY III | OTR/L | 1457968240 |
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.