Jerry Smith

Occupational Therapy Assistant · Appleton, WI

Individual Active NPI

NPI number 1578099131

Practice location

2125 N Sherri Lin Ct Apt G
Appleton, WI 54914-1873
Phone
(920) 915-6832

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NPI record

NPI
1578099131
Entity type
Individual (Type 1)
Enumeration date
May 2, 2017
Last updated
May 2, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 5356-27 WI

About Jerry Smith

Jerry Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 2125 N Sherri Lin Ct Apt G, Appleton, WI 54914-1873. The NPI number 1578099131 was assigned on May 2, 2017 and the record was last updated on May 2, 2017.

Jerry Smith lists a license in the registry: #5356-27 (WI) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Smith?

The NPI number is 1578099131.

What is the phone number of Jerry Smith?

The phone number listed for the practice location is (920) 915-6832.

Where is Jerry Smith located?

2125 N Sherri Lin Ct Apt G, Appleton, WI 54914-1873.

What is the taxonomy code for Jerry Smith?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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