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

Individual provider Occupational Therapy Assistant · NPI 1427540608

Jaimie T Wyatt, OTA is an Occupational Therapy Assistant in Russellville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2018
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Practice location Address checks out

1915 W Main St
Russellville, AR 72801-2725
Phone: (479) 968-1198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OT-A1367 (AR)

Record details

NPI number1427540608
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedJune 4, 2018
Last updated in NPPESJune 4, 2018

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