IndividualActive
Katie Black, OT
NPI 1053579409 · Neurorehabilitation Occupational Therapist · Jackson, MS
Provider details
- NPI number
- 1053579409
- Entity type
- Individual
- Primary specialty
- Neurorehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 1731 (MS)
Practice location
1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112
Phone: (601) 981-2611
Mailing address
1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112
Registry dates
- Enumerated
- 2008-06-01
- Last updated
- 2008-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.