Individual
SHELLEY KAYE YOUNGBLOOD
Active
Individual
SHELLEY KAYE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119011348
VA
225X00000X
Occupational Therapist
Primary
239095
OR
225X00000X
Occupational Therapist
6696
SC
Other
Enumeration date
08/12/2008
Last updated
04/08/2026
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