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

Mr. Andrew Jackson, MOTR/L

Individual provider Rural Acute Care Hospital · NPI 1285172841

Mr. Andrew Jackson, MOTR/L is a Rural Acute Care Hospital in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada and Utah.

Licensed in
NV, UT
In the registry since
2017
Specialties on file
2

Practice location Address checks out

8736 Shady Pines Dr
Las Vegas, NV 89143-4460
Phone: (435) 650-7128
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-2211 (NV)
Rural Acute Care Hospital Taxonomy 282NR1301X · Licence 10241270-4201 (UT)

Record details

NPI number1285172841
Entity typeIndividual (Type 1)
GenderMale
Credentials MOTR/L
Sole proprietorYes
NPI enumeratedFebruary 3, 2017
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

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