Search › Louisiana › 225X00000X
Shelley Russell, OTR/L
NPI 1417498387 · on the registry since 2017 · sole proprietor
Practice
- Address
- 39210 Live Oak Dr
Ponchatoula, LA 70454 - Phone
- (985) 510-0282
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XP0200X
- Licence states on file
- AL, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana