Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jaclyn Ann Chavez, OTR/L

Individual provider Occupational Therapist · NPI 1750543930

Mrs. Jaclyn Ann Chavez, OTR/L is an Occupational Therapist in Lewiston, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2008
Specialties on file
2
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

3600 Country Club Dr
Lewiston, ID 83501-9621
Phone: (208) 503-2194
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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 OT-768 (ID)
Occupational Therapist Taxonomy 225X00000X · Licence 00004442 (WA)

Record details

NPI number1750543930
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJune 27, 2008
Last updated in NPPESApril 23, 2017

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