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Shelby Brooke Russell, MS, OTR/L

Occupational Therapist in Somerset, KY. Individual provider (NPI-1).

NPI number1831989656
StatusActive
Last updated in NPPESMay 7, 2025

Details

NPI
1831989656
Entity type
Individual (NPI-1)
Name
Shelby Brooke Russell
Credential
MS, OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
May 7, 2025
Certification date
May 7, 2025
Last updated
May 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist244947KYYes

Practice location

303 Second St
Somerset, KY 42501-2390

Phone 606-677-1166

Mailing address

303 Second St
Somerset, KY 42501-2390

Phone 606-677-1166

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