Individual provider · Type 1 NPI

Shane Kenneth McCormick, OTR/L

Occupational Therapist · Jackson, WY

NPI number 1295071611 Active

Practice location

310 E Broadway Ave
Jackson, WY 83001-8636

Call (307) 734-2877 Map

Fax (307) 734-2827

Mailing address

555 Saint Josephs Blvd
Elmira, NY 14901-3223

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT-1386 (WY)

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 1295071611

Shane Kenneth McCormick, OTR/L's National Provider Identifier is 1295071611, issued on Dec 13, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jackson, WY. The record was last updated on Jul 1, 2020.