Individual
KAELA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
COTA/L
Contact information
Practice address
4911 LEGENDS DR, LAWRENCE, KS 66049-5800
(785) 831-3053
Mailing address
4911 LEGENDS DR, LAWRENCE, KS 66049-5800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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