Jacey Anderson, COTA
Individual provider Active NPI Occupational Therapy Assistant · Hesston, KS
NPI 1194035246 · NPPES record last updated Oct 7, 2010
Key facts
- NPI
- 1194035246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 18-00690 (KS)
- Practice address
- 200 W Cedar St
Hesston, KS 67062-8100 - Phone
- (620) 327-4155
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 18-00690 | KS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18-00690 | KS | Yes |
Addresses
Primary practice location
200 W Cedar St
Hesston, KS 67062-8100
Mailing address
200 W Cedar St
Hesston, KS 67062-8100
Phone (620) 327-4155
Other providers in Hesston, KS
- Advanced PT of Newton, LLC
- Julie Valinda Ashbrook Deering
- Zachary C Beims
- Susan Marie Bennett
- Samuel D Bertholf
- Jarot L Blakemore
All providers in Hesston, KS · Occupational Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2010. 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.