Tymber Jacques
Individual provider Active NPI Occupational Therapy Assistant · South Hutchinson, KS
NPI 1982153540 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1982153540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 18-01154 (KS)
- Practice address
- 600 W Blanchard Ave
South Hutchinson, KS 67505-1526 - Phone
- (620) 663-7175
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 18-01154 | KS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18-01154 | KS | Yes |
Addresses
Primary practice location
600 W Blanchard Ave
South Hutchinson, KS 67505-1526
Mailing address
301 E Avenue B
Mount Hope, KS 67108-8808
Other providers in South Hutchinson, KS
- Tamara Friday
- Robert Randall Hendrickson
- Shari Ann Hill
- Tiffany Dawn Holler
- Hutchinson Clinic, P.a., Inc.
- Nabeel Khokhar
- Medical Center, P.a.
- Medical Center, P.a.
- Angella Marie Melland-Schrock
- Mennonite Friendship Communities, Inc
All providers in South Hutchinson, 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 Sep 23, 2016. 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.