Individual
ALYSSA SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1628 19TH ST, LUBBOCK, TX 79401-4832
(806) 219-0500
(806) 766-1286
Mailing address
1628 19TH ST, LUBBOCK, TX 79401-4832
(806) 219-0500
(806) 766-1286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121612
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
08/25/2025
Last updated
08/25/2025
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