Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANELL L BLACK SOUTHALL, OT
Active Sole ProprietorSHANELL L BLACK SOUTHALL, OT is a Occupational Therapist healthcare provider located in GOODLETTSVILLE, Tennessee. NPI 1508015843 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GOODLETTSVILLE, TN
Registration Details
- NPI Number
- 1508015843
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2008 (17.882931774471 yrs)
- Last Updated
- Aug 4, 2021
- Licenses
-
5565 (TN)3691 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9303 PRESTON RUNGOODLETTSVILLE, TN, 370721942Browse TN providers · Browse ZIP 37072
- Phone
- 6152602978
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in GOODLETTSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| EMILY DIANE BURNS | BSOT | 1891755161 |
| GWENDOLYN CARNEY | OTR | 1417017039 |
| YVONNE HAYDEN | OTR | 1023179264 |
| JESSICA S DEAL | DOT | 1588951438 |
| RICHARD DANIEL PRESTON | — | 1366886541 |
| JAMES BECK COX | — | 1528721297 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.