Jamie Brooks Tucker, OTL/R

Individual provider Active NPI Occupational Therapist · Fruita, CO

NPI 1225857089 · NPPES record last updated Oct 8, 2024

Key facts

NPI
1225857089
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.0008363 (CO)
Practice address
300 W Ottley Ave
Fruita, CO 81521-2118
Phone
(970) 858-3900
NPI assigned
Oct 8, 2024
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

LicenseStateTypeSpecialty
OT.0008363COMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0008363 CO Yes

Addresses

Primary practice location

300 W Ottley Ave
Fruita, CO 81521-2118

Mailing address

2215 Driftwood LN
Grand Junction, CO 81507-2606
Phone (808) 365-6917

Other providers in Fruita, CO

All providers in Fruita, CO · Occupational Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.