Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sherelle Nicole Jackson, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1154285666

Sherelle Nicole Jackson, OTD, OTR/L is an Occupational Therapist in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
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

452 NW Legacy Dr
Kansas City, MO 64155-2894
Phone: (816) 436-6383
Fax: (816) 436-8143
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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 2025051197 (MO)

Record details

NPI number1154285666
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

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