Jessica Renee Petty, OTR-L
Individual provider Active NPI Occupational Therapist · Labadie, MO
NPI 1356489082 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356489082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- MO2003003154 (MO)
- Practice address
- 361 Meadow Crest Dr
Labadie, MO 63055-1982 - Phone
- (314) 520-3326
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|
| MO2003003154 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | MO2003003154 | MO | Yes |
Addresses
Primary practice location
361 Meadow Crest Dr
Labadie, MO 63055-1982
Mailing address
361 Meadow Crest Dr
Labadie, MO 63055-1982
Phone (314) 520-3326
Other providers in Labadie, MO
- Ashley M Fuller
- Michael George Hawkinson
- Jodi Lin Fortner
- Ashley Lauren Lane-Brunjes
- Abby Rose Painter
- Jill Christine Roesch
- Karena L Romstad-Eoff
- Therapy and Beyond, LLC
- Ashley Watson-Kuhnert
All providers in Labadie, MO · Occupational Therapist in Missouri
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.