Individual provider · Type 1 NPI

Shanell L. Black Southall, OT

Occupational Therapist · Goodlettsville, TN

NPI number 1508015843 Active

Practice location

9303 Preston Run
Goodlettsville, TN 37072-1942

Other practice locations

  • 870 Oak Meadow Dr Ste 100, Franklin, TN 37064-5607 · (800) 603-6046

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X5565 (TN)
Occupational Therapist Primary 225X00000X3691 (TN)

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 1508015843

Shanell L. Black Southall, OT's National Provider Identifier is 1508015843, issued on Sep 10, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Goodlettsville, TN. The record was last updated on Aug 4, 2021.