Provider Demographics
NPI:1720626575
Name:WEST, JAMI (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:JAMI
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 COUNTY ROAD 726
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72405-0295
Mailing Address - Country:US
Mailing Address - Phone:870-882-0023
Mailing Address - Fax:
Practice Address - Street 1:142 COUNTY ROAD 726
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72405-0295
Practice Address - Country:US
Practice Address - Phone:870-882-0023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3247225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist