Individual
JESSICA MAE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 N 10TH ST # 57783, SPEARFISH, SD 57783-2203
(605) 642-2716
(605) 642-2716
Mailing address
5251 KELLYS CREEK RD, CHARLESTON, WV 25312-6933
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2587
WV
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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