Individual provider · Type 1 NPI

Shelbey Allyn Costello, OTR/L

Occupational Therapist · Boonville, MO

NPI number 1366095234 Active

Practice location

736 Main St
Boonville, MO 65233-1656

Mailing address

4 Broadway Village Dr Apt H
Columbia, MO 65201-8674

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2019027108 (MO)

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 1366095234

Shelbey Allyn Costello, OTR/L's National Provider Identifier is 1366095234, issued on Jul 19, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Boonville, MO. The record was last updated on Jul 19, 2019.