Individual provider · Type 1 NPI

Sandra Dianne Shively, COTA/L

Occupational Therapy Assistant · Kirksville, MO

NPI number 1669234522 Active

Practice location

1901 E Hamilton St
Kirksville, MO 63501-3904

Call (660) 626-1444 Map

Mailing address

4067 Shelby 357
Shelbyville, MO 63469-2531

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2015001725 (MO)

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 1669234522

Sandra Dianne Shively, COTA/L's National Provider Identifier is 1669234522, issued on Jan 26, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Kirksville, MO. The record was last updated on Feb 3, 2026.