Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Lyn Jackson, OTR

Individual provider Occupational Therapist · NPI 1730692765

Amanda Lyn Jackson, OTR is an Occupational Therapist in Boonville, Indiana. Practices as a sole proprietor and works from 3 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2017
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

2222 S Rockport Rd
Boonville, IN 47601-7926
Phone: (812) 629-6260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1101 N Royal Ave Ste B, Evansville, IN 47715-7845 — (502) 633-1007
  • 90 Howard Dr, Shelbyville, KY 40065-8138 — (502) 633-1007

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31004809A (IN)

Record details

NPI number1730692765
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedNovember 13, 2017
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address2222 S Rockport Rd, Boonville, IN 47601-7926

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