Jeanne Marie Kerr

Individual provider Active NPI Occupational Therapist · Paris, MO

NPI 1063570943 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1063570943
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2004011323 (MO)
Practice address
23835 Highway 24
Paris, MO 65275-2276
Phone
(660) 327-1402
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2004011323MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Rehabilitation, LLC Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2004011323 MO Yes

Addresses

Primary practice location

23835 Highway 24
Paris, MO 65275-2276

Mailing address

6951 N Sycamore Creek Rd
Rocheport, MO 65279-9554
Phone (573) 874-0047

Other providers in Paris, MO

All providers in Paris, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.