Individual
SHERELLE NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
452 NW LEGACY DR, KANSAS CITY, MO 64155-2894
(816) 436-6383
(816) 436-8143
Mailing address
452 NW LEGACY DR, KANSAS CITY, MO 64155-2894
(816) 436-8143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2025051197
MO
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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