Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Elise Jackson, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1073998621

Kelly Elise Jackson, COTA/L is an Occupational Therapy Assistant in Little Rock, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2015
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

8109 Interstate 30
Little Rock, AR 72209-4840
Phone: (501) 562-5400
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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-A986 (AR)

Record details

NPI number1073998621
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 24, 2015

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