IndividualActive
Allie Shepard, COTA/L
NPI 1295281640 · Occupational Therapy Assistant · Jackson, MS
Provider details
- NPI number
- 1295281640
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- TA3273 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5411 I 55 N
Jackson, MS 39206-3616
Phone: (769) 251-2098
Approximate (ZIP-level) locationGet directions
Mailing address
107 Muirfield Ln
Clinton, MS 39056-5960
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2016-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.