Provider Demographics
NPI:1629510292
Name:RAWLINGS, JAMIE DENISE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:DENISE
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:DENISE
Other - Last Name:SHEAFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:986 ANEMONE RD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65610-9275
Mailing Address - Country:US
Mailing Address - Phone:417-895-8890
Mailing Address - Fax:
Practice Address - Street 1:2700 E 34TH ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4310
Practice Address - Country:US
Practice Address - Phone:417-781-4915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-13
Last Update Date:2016-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014025816224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant