Kassidy Lynn Jackson
Occupational Therapist in Princeton, IN. Individual provider (NPI-1).
NPI number1497465009
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1497465009
- Entity type
- Individual (NPI-1)
- Name
- Kassidy Lynn Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2022
- Certification date
- Dec 5, 2022
- Last updated
- Dec 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 99115773A | IN | Yes |
Practice location
4000 S Tulip Tree DrPrinceton, IN 47670-2300
Phone 812-387-2938 · Fax 812-387-2015
Mailing address
2904 Betsy CtEvansville, IN 47720-5913
Phone 812-431-0718
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All 6 Occupational Therapist providers in Princeton · All 273 providers in Princeton
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