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NPI Code Detail

MEDICARE: JENNIFER SMITH OT

MEDICARE:   JENNIFER  SMITH  OT
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
1225X00000XOccupational TherapistKYR2560KY

General Provider Information

NPI Number : 1275654550
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER SMITH OT
Provider Business Mailing Address
First Line : 61 COVERT PL
Second Line :
City : FORT THOMAS
State : KY
Zip : 41075-1075
Country : US
Telephone Number : 251-689-4482
Fax Number : 859-757-2490
Provider Business Practice Location Address
First Line : 61 COVERT PL
Second Line :
City : FORT THOMAS
State : KY
Zip : 41075-1075
Country : US
Telephone Number : 251-689-4482
Fax Number : 859-757-2490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 04/15/2026

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