Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tashata Re'Kal Jackson, COTA

Individual provider Occupational Therapy Assistant · NPI 1053892604

Tashata Re'Kal Jackson, COTA is an Occupational Therapy Assistant in Kilgore, 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

2700 S Henderson Blvd
Kilgore, TX 75662-4033
Phone: (903) 984-3511
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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 212080 (TX)

Record details

NPI number1053892604
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedAugust 22, 2018
Last updated in NPPESAugust 22, 2018

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