Jimmy Dale Brannon in Central - Occupational Therapy Assistant
Jimmy Dale Brannon - NPI 1174720445
Jimmy Dale Brannon is a Occupational Therapy Assistant in Central, Kentucky. Jimmy Dale Brannon practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Jimmy Dale Brannon is 1174720445. The last update date is 2007-07-08.
Jimmy Dale Brannon's current location address is 813 Broad St, Central, Kentucky. You can contact this provider via phone number 2707545280. The mailing address for Jimmy Dale Brannon is 813 Broad St, Central, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Dale Brannon |
|---|---|
| Address | 813 Broad St, Central, Kentucky |
| Phone Number | 2707545280 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA,L |
NPI Number Detail
| NPI Number | 1174720445 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 813 Broad St |
|---|---|
| City | Central |
| State | Kentucky (KY) |
| Post Code | 42330 |
| Phone Number | 2707545280 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | A3397 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Post Comment/ Review Below
What is the unique identifier code issued to Jimmy Dale Brannon by the Centers for Medicare & Medicaid Services (CMS)?
The Jimmy Dale Brannon has been assigned the NPI (National Provider Identifier) 1174720445. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jimmy Dale Brannon?
The Jimmy Dale Brannon is situated at 813 Broad St, in the city of Central, state of KY, with the zip code 42330.
What is Jimmy Dale Brannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jimmy Dale Brannon is Occupational Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174720445 to Jimmy Dale Brannon?
The Centers for Medicare & Medicaid Services assigned the 1174720445 to Jimmy Dale Brannon on 2007-06-29.
As of what date was the information pertaining to Jimmy Dale Brannon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jimmy Dale Brannon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.