Jacqueline Kay Holgate, OTR/L
Individual provider Active NPI Occupational Therapist · Elk Point, SD
NPI 1104236116 · NPPES record last updated Apr 29, 2014
Key facts
- NPI
- 1104236116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0916 (SD)
- Practice address
- 600 S Franklin St
Elk Point, SD 57025 - Phone
- (605) 356-3894
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- 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 |
|---|---|---|---|
| 1798 | NE | MD | Physical Therapy Assistant |
| 0916 | SD | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0916 | SD | Yes |
| Occupational Therapist | 225X00000X | 002428 | IA | |
| Occupational Therapist | 225X00000X | 1798 | NE |
Addresses
Primary practice location
600 S Franklin St
Elk Point, SD 57025
Mailing address
1705 Country Club Dr
Elk Point, SD 57025-2325
Phone (507) 848-0436
Other providers in Elk Point, SD
- Elk Point Community Ambulance Service
- Elk Point Healthcare #2, LLC
- Elk Point Jefferson School Dist
- Lois A. Franzen
- John P Giorgio
- Horizon Health Care Inc
- Erik Neil Johnson
- Johnson'S Chiropractic Clinic, P.C.
- Marie Kaiser
- Kevin Glenn Wurtz
All providers in Elk Point, SD · Occupational Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2014. 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.