Mrs Kimberly Smith Jackson, LOTR - Occupational Therapist in Slidell, LA

Mrs Kimberly Smith Jackson, LOTR is a Occupational Therapist based in Slidell, Louisiana. Mrs Kimberly Smith Jackson is licensed to practice in Louisiana (license number OTT.200084) and her current practice location is 2012 Rubich Ln, Slidell, Louisiana. She can be reached at her office (for appointments etc.) via phone at (985) 643-2156.

NPI number for Mrs Kimberly Smith Jackson is 1063619476 and her current mailing address is 2012 Rubich Ln, Slidell, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063619476.

Contact Information

Mrs Kimberly Smith Jackson, LOTR
2012 Rubich Ln,
Slidell, LA 70461-1361
(985) 643-2156
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kimberly Smith Jackson
GenderFemale
SpecialityOccupational Therapist
Location2012 Rubich Ln, Slidell, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063619476
  • Provider Enumeration Date: 06/29/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kimberly Smith Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063619476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OTT.200084 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Smith Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kimberly Smith Jackson, LOTR
2012 Rubich Ln,
Slidell, LA 70461-1361

Ph: (985) 643-2156
Mrs Kimberly Smith Jackson, LOTR
2012 Rubich Ln,
Slidell, LA 70461-1361

Ph: (985) 643-2156

Reviews and Comments


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