MEDICARE: JORDAN HEATH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OTL14190	MA

General Provider Information

NPI Number	:	1235077405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN HEATH

Provider Business Mailing Address
First Line	:	610 E PLEASANT ST APT 2F
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-1777
Country	:	US
Telephone Number	:	978-895-2590
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 E PLEASANT ST APT 2F
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-1777
Country	:	US
Telephone Number	:	978-895-2590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ JORDAN HEATH ” Practice Location

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