IndividualActive
Andrew Jackson, MOTR/L
NPI 1285172841 · Occupational Therapist · Las Vegas, NV
Provider details
- NPI number
- 1285172841
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOTR/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10241270-4201 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Hospitals
Practice location
8736 Shady Pines Dr
Las Vegas, NV 89143-4460
Phone: (435) 650-7128
Approximate (ZIP-level) locationGet directions
Mailing address
8736 Shady Pines Dr
Las Vegas, NV 89143-4460
Registry dates
- Enumerated
- 2017-02-03
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.