Individual
KELLY K SHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17480 DALLAS PKWY STE 221, DALLAS, TX 75287-7361
(469) 291-8500
Mailing address
5220 SPRING VALLEY RD STE 300, DALLAS, TX 75254-1944
(469) 291-8500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112049
OT
TX
Enumeration date
07/23/2025
Last updated
07/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us