Rebekah Page Jackson, OTR/L

Individual provider Active NPI Occupational Therapist · Jonesborough, TN

NPI 1992387963 · NPPES record last updated Apr 28, 2021

Key facts

NPI
1992387963
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6850 (TN)
Practice address
218 Timber Ridge Rd
Jonesborough, TN 37659-5805
Phone
(423) 946-1529
NPI assigned
Apr 28, 2021
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

LicenseStateTypeSpecialty
6850TNMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6850 TN Yes

Addresses

Primary practice location

218 Timber Ridge Rd
Jonesborough, TN 37659-5805

Mailing address

218 Timber Ridge Rd
Jonesborough, TN 37659-5805
Phone (423) 946-1529

Other providers in Jonesborough, TN

All providers in Jonesborough, TN · Occupational Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.