Individual provider · Type 1 NPI

Shayla Makell Gibson

Occupational Therapist · Richmond, KY

NPI number 1104752062 Active

Practice location

116 Meridian Way Ste 8
Richmond, KY 40475-2876

Mailing address

357 Springhurst Dr
Berea, KY 40403-8741

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104752062

Shayla Makell Gibson's National Provider Identifier is 1104752062, issued on Jun 19, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Richmond, KY. The record was last updated on Jun 19, 2026.