Individual provider · Type 1 NPI

Shannon Smith

Occupational Therapist · Louisville, KY

NPI number 1720415029 Active

Practice location

4121 Shelbyville Rd Ste 7
Louisville, KY 40207-3205

Fax (502) 893-1773

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X31005496A (IN)
Occupational Therapist 225X00000X5201008405 (MI)
Occupational Therapist Primary 225X00000XR5721 (KY)

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 1720415029

Shannon Smith's National Provider Identifier is 1720415029, issued on Oct 1, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Louisville, KY. The record was last updated on Apr 11, 2019.