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General NPI Number Information
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NPI Number | 1265392831
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Entity Type | Individual
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Provider Name | JESSICA SPIVEY MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 318 BILBREY ST
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City | LIVINGSTON
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State | TN
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Zip | 38570-1706
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Country | US
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Telephone | 931-823-6403
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Fax |
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Provider Business Mailing Address
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Address Line | 1081 RIVER BEND DR
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City | COOKEVILLE
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State | TN
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Zip | 38506-5975
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | 4529
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 4529
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License Number State | TN
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