# MRS. JODIE MCMACKEN THORSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700070307
- **Gender:** F
- **Credential:** OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 0126 | SD | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 07/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025846700 | — | NE |
| 01 | — | 1700070307 | WELLMARK BCBS SD | — |
| 05 | — | 1700070307 | — | IA |
| 05 | — | 1700070307 | — | MN |
| 01 | — | 9290265 | DAKOTACARE | — |