Individual
JENNI MERRILL MACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
303 BRADLEY BLVD STE 212, RICHLAND, WA 99352-4497
(509) 593-8292
Mailing address
1803 PEACHTREE LN APT C, RICHLAND, WA 99352-8480
(480) 848-8335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61035366
WA
224Z00000X
Occupational Therapy Assistant
OTA-000072
AZ
Other
Enumeration date
07/29/2019
Last updated
01/23/2026
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