Jacqulynn Salem
Individual provider Active NPI Occupational Therapist · Adams, NE
NPI 1609385285 · NPPES record last updated Sep 26, 2017
Key facts
- NPI
- 1609385285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2161 (NE)
- Practice address
- 200 Levi LN
Adams, NE 68301-8830 - Phone
- (402) 988-7115
- NPI assigned
- Sep 26, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 2161 | NE | Yes |
Addresses
Primary practice location
200 Levi LN
Adams, NE 68301-8830
Mailing address
200 Levi LN
Adams, NE 68301-8830
Other providers in Adams, NE
- Michelle Marie Jarosz
- Johnson County Hospital
- Michael William Knipe
- Tara Mary Lorenson
- Our Supported Homes
- Maggie Sales
- Ruth Marie Schoen
- Sarah C Schroeder
- Lindsey Sedlacek
- Floyd G Vanengen
All providers in Adams, NE · Occupational Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2017. 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.