Tymber Jacques

Occupational Therapy Assistant in South Hutchinson, KS. Individual provider (NPI-1).

NPI number1982153540

StatusActive

Last updated in NPPESSep 23, 2016

Details

NPI: 1982153540
Entity type: Individual (NPI-1)
Name: Tymber Jacques
Sex: Female
Sole proprietor: No
Enumeration date: Sep 23, 2016
Last updated: Sep 23, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
224Z00000X	Occupational Therapy Assistant	18-01154	KS	Yes

Practice location

600 W Blanchard Ave
South Hutchinson, KS 67505-1526

Phone 620-663-7175

Mailing address

301 E Avenue B
Mount Hope, KS 67108-8808

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