Individual provider · Type 1 NPI

Shelby Russell

Occupational Therapist · Jonesboro, AR

NPI number 1699403519 Active

Practice location

2808 Fox Meadow Ln
Jonesboro, AR 72404-9346

Call (870) 932-4245 Map

Fax (870) 931-4457

Mailing address

1010 State Highway 77
Marion, AR 72364-9007

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed
Behavior Technician 106S00000XNone listed

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 1699403519

Shelby Russell's National Provider Identifier is 1699403519, issued on Aug 9, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jonesboro, AR. The record was last updated on Oct 12, 2026.