MRS. KATIE OGLETREE BLACK OT NPI 1053579409

NPI Information

NPI: 1053579409
Provider Name: MRS. KATIE OGLETREE BLACK, OT
Classification: Occupational Therapist - 225XN1300X
Entity Type: Individual

Specialization: Neurorehabilitation

Address:
1350 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 981-2611
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MRS. Katie Ogletree Black, OT is a neurorehabilitation occupational therapist in Jackson, MS. MRS. Katie Ogletree Black, OT NPI is 1053579409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1350 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216-112
Phone: (601) 981-2611

The enumeration date for this NPI number is 6/1/2008 and was last updated on 6/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XN1300X	Occupational Therapist	Neurorehabilitation	1731	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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