Jenna R Cannon, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Elsberry, MO
NPI 1194598904 · NPPES record last updated Aug 1, 2025
Key facts
- NPI
- 1194598904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 138 Tomahawk Dr
Elsberry, MO 63343-1151 - Phone
- (573) 898-5554
- NPI assigned
- Nov 2, 2023
- 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 |
|---|---|---|---|
| Lincoln County R2 School District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
138 Tomahawk Dr
Elsberry, MO 63343-1151
Mailing address
56 Straight St
Elsberry, MO 63343-3503
Phone (636) 578-7352
Other providers in Elsberry, MO
- Bristol Care, Inc.
- Saundra Byerley
- Jerry W Callahan
- Gregory George Casalone
- Melody Lynn Chapman
- Terissa Kay Curtis
- Dejace Enterprises Inc
- Dejace Enterprises Inc
All providers in Elsberry, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 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.