Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON MICHELLE MATTINGLY, OTR/L
ActiveSHANNON MICHELLE MATTINGLY, OTR/L is a Occupational Therapist healthcare provider located in CLAYTON, Georgia. NPI 1578571865 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CLAYTON, GA
Registration Details
- NPI Number
- 1578571865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2006 (19.999075730101 yrs)
- Last Updated
- Apr 2, 2009
- Licenses
-
KY-R3598 (KY)OT004853 (GA)
Practice Information
- Address
-
790 N MAIN STSUITE 102CLAYTON, GA, 305254275Browse GA providers · Browse ZIP 30525
- Phone
- 7062120661
- Fax
- 7062120662
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in CLAYTON, GA
| Name | Credential | NPI |
|---|---|---|
| MISS SARA LOUISE BRETT | O.T.R | 1780868018 |
| JENNIFER DESLICH | O.T. | 1790107993 |
| MS. ASHLEY D. MILLER | OTR/L | 1346648474 |
| KAYLA NICOLE PARKER | MS, OTR/L | 1851922231 |
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.