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

Jeannise Marie Nichols, OT

Individual provider Occupational Therapist · NPI 1124709498

Jeannise Marie Nichols, OT is an Occupational Therapist in Draper, Utah. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2021 E Village Green Cir Ste C
Draper, UT 84020-5500
Phone: (801) 440-5592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 24261 (CA)

Record details

NPI number1124709498
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJuly 28, 2023
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

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