IndividualActive
Justin Smelley, COTA
NPI 1366754491 · Occupational Therapy Assistant · Garrison, TX
Provider details
- NPI number
- 1366754491
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 208449 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
998 W Main St
Garrison, TX 75946-2420
Phone: (936) 347-3043
Fax: (936) 347-3043
Approximate (ZIP-level) locationGet directions
Mailing address
998 W Main St
Garrison, TX 75946-2420
Registry dates
- Enumerated
- 2010-07-06
- Last updated
- 2010-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.