Individual
NIKKI A PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OT/L
Contact information
Practice address
2800 S DIXON RD, KOKOMO, IN 46902-6403
(765) 455-2828
Mailing address
6362 APPERSON DR, NOBLESVILLE, IN 46062-0116
(317) 709-1514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004541A
IN
225XP0200X
Pediatric Occupational Therapist
31004541A
IN
Other
Enumeration date
05/08/2008
Last updated
04/23/2025
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