Individual
SHELBY HERNDON GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
668 OLD SALT RD, SUMRALL, MS 39482-4232
(601) 270-6968
Mailing address
679 PURVIS OLOH RD, PURVIS, MS 39475-4285
(601) 310-0336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3800
MS
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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