Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nathan Allen Koenegstein, OTR/L

Individual provider Occupational Therapist · NPI 1790106060

Mr. Nathan Allen Koenegstein, OTR/L is an Occupational Therapist in Jackson, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

597 W Forest Ave
Jackson, TN 38301-3935
Phone: (731) 300-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT0000004821 (TN)

Record details

NPI number1790106060
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 3, 2014
Last updated in NPPESJanuary 3, 2014

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