Provider Demographics
NPI:1497981369
Name:EASTER, JAMIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:
Last Name:EASTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 AUTUMN WOOD DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-9098
Mailing Address - Country:US
Mailing Address - Phone:859-221-3675
Mailing Address - Fax:
Practice Address - Street 1:649 AUTUMN WOOD DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-9098
Practice Address - Country:US
Practice Address - Phone:859-221-3675
Practice Address - Fax:859-972-0417
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR2878225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist