Individual provider · Type 1 NPI

Shelby Herndon Graves, COTA

Occupational Therapy Assistant · Sumrall, MS

NPI number 1255265344 Active

Practice location

668 Old Salt Rd
Sumrall, MS 39482-4232

Call (601) 270-6968 Map

Mailing address

679 Purvis Oloh Rd
Purvis, MS 39475-4285

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-3800 (MS)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1255265344

Shelby Herndon Graves, COTA's National Provider Identifier is 1255265344, issued on Jun 11, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Sumrall, MS. The record was last updated on Jun 11, 2026.