MEDICARE: JAMISON WATSON OTD

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	305900	KY

General Provider Information

NPI Number	:	1669321543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMISON WATSON OTD

Provider Business Mailing Address
First Line	:	1684 STINNETT RD
Second Line	:
City	:	MACEO
State	:	KY
Zip	:	42355-9718
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 SCHERM RD STE 1
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42301-5300
Country	:	US
Telephone Number	:	270-685-9499
Fax Number	:

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

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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