Individual provider · Type 1 NPI

Crystal Lauren Shackelford, COTA

Occupational Therapy Assistant · Round Rock, TX

NPI number 1629557277 Active

Practice location

1100 Hidden Valley Dr
Round Rock, TX 78665-1565

Mailing address

4005 Banister Ln
Austin, TX 78704-8077

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1629557277

Crystal Lauren Shackelford, COTA's National Provider Identifier is 1629557277, issued on Aug 13, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Round Rock, TX. The record was last updated on Sep 29, 2026.