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Contact Information

JACEY ANDERSON, COTA
200 W CEDAR ST
HESSTON, KS67062-8100
 Phone: 620-327-4155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JACEY ANDERSON · (Female)

NPI # 1194035246
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 10/07/2010
Last updated 10/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 18-00690
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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