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

Individual provider Occupational Therapy Assistant · NPI 1427530641

Mrs. Idoll Tina Jackson, COTA is an Occupational Therapy Assistant in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

2650 Elkton Trl
Tyler, TX 75703-0580
Phone: (903) 266-7200
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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 209095 (TX)

Record details

NPI number1427530641
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedSeptember 4, 2018
Last updated in NPPESSeptember 4, 2018

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