Individual
SHELBY REAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
(800) 724-5535
Mailing address
209 SANO CIR, HUNTSVILLE, AL 35811-4229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6197
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6197
ALABAMA STATE BOARD OF OCCUPATIONAL THERAPY (ASBOT)
AL
Enumeration date
02/02/2024
Last updated
02/02/2024
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