Jeremy Brad King, COTA
Individual provider Active NPI Occupational Therapy Assistant · Haskell, TX
NPI 1073718367 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073718367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 208771 (TX)
- Practice address
- 1504 N 1St St
Haskell, TX 79521-5438 - Phone
- (940) 864-2932
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208771 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 208771 | TX | Yes |
Addresses
Primary practice location
1504 N 1St St
Haskell, TX 79521-5438
Mailing address
190 Sugar Biscuit LN
Abilene, TX 79602-5546
Phone (325) 698-5045
Other providers in Haskell, TX
- Hope in Healing Counseling, PLLC
- Jason M. Mahoney DMD, PLLC
- Kelby Johnson
- Hayle Rae Jones
- Leon D Joplin
- Jason Mahoney
- Majestic Senior Living Haskell LLC
- Laurie J Markey
- Amy Lynnette Martin
- William Delbert McSmith Jr.
All providers in Haskell, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.