Provider Demographics
NPI:1013520162
Name:REEVES, SARAH JORDAN (OTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JORDAN
Last Name:REEVES
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 1:29994 STATE HIGHWAY 37
Mailing Address - Street 2:
Mailing Address - City:SELIGMAN
Mailing Address - State:MO
Mailing Address - Zip Code:65745-7193
Mailing Address - Country:US
Mailing Address - Phone:417-342-4010
Mailing Address - Fax:
Practice Address - Street 1:2510 W HUDSON RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-2072
Practice Address - Country:US
Practice Address - Phone:479-936-1061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist