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

Lisa Jacques

Individual provider Occupational Therapist · NPI 1457692915

Lisa Jacques is an Occupational Therapist in Wildwood, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16972 Manchester Rd
Wildwood, MO 63040-1200
Phone: (636) 477-5187
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1034 S Brentwood Blvd, Richmond Heights, MO 63117-1223 — (314) 644-1978

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2012035100 (MO)

Record details

NPI number1457692915
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2013
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address16972 Manchester Rd, Wildwood, MO 63040-1200

Other providers in Wildwood