Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP SCOTT SHACKELFORD, OTR/L
Active Sole ProprietorPHILLIP SCOTT SHACKELFORD, OTR/L is a Occupational Therapist healthcare provider located in MARTINEZ, Georgia. NPI 1548615800 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MARTINEZ, GA
Registration Details
- NPI Number
- 1548615800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2016 (10.308703744975 yrs)
- Last Updated
- Apr 25, 2016
- License
-
OT006295 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 GARY GLEN DRMARTINEZ, GA, 309072615Browse GA providers · Browse ZIP 30907
- Phone
- 7063944015
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in MARTINEZ, GA
| Name | Credential | NPI |
|---|---|---|
| JANET W VINCENT | OTRL | 1700940145 |
| LAURA R CORDARO | OTRL | 1841354719 |
| APRIL S EVANS | OTRL | 1912061888 |
| KIMBERLY S LOGUE | OTRL | 1487719159 |
| ALLISON M VALLOTTON | OTR/L | 1689873515 |
| MARIANA D'AMICO | EDD, OTR/L | 1245522804 |
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.