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

Jessica Ann Walthall, OT-A

Individual provider Specialist · NPI 1891930475

Jessica Ann Walthall, OT-A is a Specialist in Lake Village, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2008
Specialties on file
2

Practice location Address checks out

316 Main St
Lake Village, AR 71653
Phone: (870) 265-3950
Fax: (870) 265-2525
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 OTA543 (AR)
Specialist Taxonomy 174400000X · Licence OT0864 (AR)

Record details

NPI number1891930475
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT-A
Sole proprietorYes
NPI enumeratedDecember 10, 2008
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

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