Provider Demographics
NPI:1821321027
Name:ASHER, JENNA MARIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:MARIE
Last Name:ASHER
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 1:500 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034-9478
Mailing Address - Country:US
Mailing Address - Phone:816-309-3903
Mailing Address - Fax:
Practice Address - Street 1:129 NE PARKS VIEW CT
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2353
Practice Address - Country:US
Practice Address - Phone:816-478-9996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009026928225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist