Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Grace Kettler, OTR/L

Individual provider Occupational Therapist · NPI 1003684119

Dr. Jacqueline Grace Kettler, OTR/L is an Occupational Therapist in Saint Augustine, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

150 Village Crossing Ct
Saint Augustine, FL 32084-8697
Phone: (502) 694-5241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 144 Cypress Point Pkwy, Palm Coast, FL 32164-7412 — (386) 247-0967

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 23228 (FL)

Record details

NPI number1003684119
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

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