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

Jennifer Deatherage

Individual provider Occupational Therapy Assistant · NPI 1619419009

Jennifer Deatherage is an Occupational Therapy Assistant in Show Low, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016

Practice location Address checks out

2401 E Hunt Dr
Show Low, AZ 85901-7920
Phone: (928) 537-5333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 6718 (AZ)

Record details

NPI number1619419009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2016
Last updated in NPPESNovember 16, 2016
Mailing address2401 E Hunt Dr, Show Low, AZ 85901-7920

Other providers in Show Low