MS. JACKE KHANTIVONG OTR/L
NPI 1619114485
Occupational Therapist in Denver, CO
About Ms. Jacke Khantivong Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACKE KHANTIVONG OTR/L (NPI 1619114485) is an individual occupational therapist in Denver, Colorado, licensed in Colorado (2191) and active in the NPI registry since January 2009.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacke Khantivong's NPI number?
The NPI number for Jacke Khantivong is 1619114485. It was assigned to this individual provider in the NPPES registry on January 14, 2009.
Where is Jacke Khantivong located?
Jacke Khantivong practices at 1247 S Race St, Denver, CO 80210. The listed phone number is (860) 306-1384.
What is Jacke Khantivong's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Jacke Khantivong was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.