Individual provider · Type 1 NPI

Mallory Nichole Shoukletovich, M.S. OTR/L

Occupational Therapist · Springfield, TN

NPI number 1225695901 Active

Practice location

3131 Tom Austin Hwy
Springfield, TN 37172-4801

Mailing address

1240 Hillwood Private Cv
Nashville, TN 37209-2640

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 1225695901

Mallory Nichole Shoukletovich, M.S. OTR/L's National Provider Identifier is 1225695901, issued on May 28, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Springfield, TN. The record was last updated on May 28, 2019.