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

Shea Jackson, OTR/L

Individual provider Occupational Therapist · NPI 1255058475

Shea Jackson, OTR/L is an Occupational Therapist in Paducah, Kentucky. Licensed in Kentucky. Registered with an NPI since 2022.

Licensed in
KY
In the registry since
2022
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

100 Kiana Ct Apt A
Paducah, KY 42001-6767
Phone: (270) 443-0681
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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 280416 (KY)

Record details

NPI number1255058475
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 27, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022
Mailing address100 Kiana Ct Apt A, Paducah, KY 42001-6767

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