Jaclyn Crawford, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Auxvasse, MO
NPI 1023828142 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1023828142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 782 County Road 283
Auxvasse, MO 65231-1102 - Phone
- (573) 808-1347
- NPI assigned
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiger Pediatrics LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
782 County Road 283
Auxvasse, MO 65231-1102
Mailing address
782 County Road 283
Auxvasse, MO 65231-1102
Phone (573) 808-1347
Other providers in Auxvasse, MO
- Angela Lynn Davis
- Family Healthcare of Auxvasse PC
- Sheila Dawn George
- Russell A Hardesty
- Jean Huhman Howard
All providers in Auxvasse, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.