Jaclyn Marie Utley OTR/L

NPI 1073891578 - Community Health Worker - 172V00000X

NPI Details
NPI 1073891578
Gender Female
Enumeration Date 08/01/2011
Last Updated 08/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
620 SKYLINE DR
JACKSON TN, 38301-3923, US
Phone (731) 541-7942
Fax
Business Location
40 WOODSHIRE CV
JACKSON TN, 38305-1308, US
Phone (812) 568-7417
Fax
Toxanomy
Taxonomy Code 172V00000X
License State Tennessee
License Number 3794
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According to our database, Mrs. Jaclyn Marie Utley OTR/L NPI is 1073891578, taxonomy code is 172V00000X and license number is 3794, license state is located at Tennessee. Jaclyn Marie Utley OTR/L physically located at 620 Skyline Dr, Jackson TN, 38301-3923. NPI Number Jaclyn Marie Utley OTR/L has the Individual type.

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1073891578 NPI number is provided on an as is basis without warranty of any kind. 1073891578 is maintained by the National Plan & Provider Enumeration System. The contents of Jaclyn Marie Utley OTR/L are for informational purposes only.