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

Tierra Jackson

Individual provider Occupational Therapy Assistant · NPI 1225426224

Tierra Jackson is an Occupational Therapy Assistant in Madisonville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2014.

Licensed in
KY
In the registry since
2014

Practice location Address checks out

1500 Pride Ave
Madisonville, KY 42431-9157
Phone: (270) 821-1813
Fax: (270) 825-2644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence A5898 (KY)

Record details

NPI number1225426224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2014
Last updated in NPPESDecember 30, 2014
Mailing address1500 Pride Ave, Madisonville, KY 42431-9157

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