Provider Demographics
NPI:1467190140
Name:MAY, JEDEKIAH ZEAN (OTD)
Entity Type:Individual
Prefix:DR
First Name:JEDEKIAH
Middle Name:ZEAN
Last Name:MAY
Suffix:
Gender:M
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 NAVARRE RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-4881
Mailing Address - Country:US
Mailing Address - Phone:307-251-1399
Mailing Address - Fax:
Practice Address - Street 1:3420 NAVARRE RD
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-4881
Practice Address - Country:US
Practice Address - Phone:307-251-1399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty