Individual
JACKLYNN KNOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L305875
TX
225X00000X
Occupational Therapist
Primary
115963
TX
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
115963
TX
225XP0200X
Pediatric Occupational Therapist
115963
TX
Other
Enumeration date
04/10/2014
Last updated
05/12/2025
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