NPI 1003372574

Shelby Liles, COTA

Practitioner Occupational Therapy Assistant Blue Springs, MO

Practice location

Address: 111 NW Mock Ave, Blue Springs, MO 64014-2503
Phone: (816) 228-5655
Mailing address: 9239 Mount Zion Rd, Odessa, MO 64076-6121

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

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Registry record

NPI: 1003372574
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2019
Record last updated: 20 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.