Shelley Ullom in Indianapolis - Occupational Therapist
Shelley Ullom - NPI 1619094737
Shelley Ullom is a Occupational Therapist in Indianapolis, Indiana. Shelley Ullom practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Shelley Ullom is 1619094737. The last update date is 2019-12-30.
Shelley Ullom's current location address is 5741 Indianola Ave, Indianapolis, Indiana. You can contact this provider via phone number 3174661000 and fax number 3174662000. The mailing address for Shelley Ullom is 5741 Indianola Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley Ullom |
|---|---|
| Address | 5741 Indianola Ave, Indianapolis, Indiana |
| Phone Number | 3174661000 |
| Fax Number | 3174662000 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619094737 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2019-12-30 |
Provider Mailing Address Detail
| Address | 5741 Indianola Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462202772 |
| Phone Number | 3174661000 |
| Fax Number | 3174662000 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 31004195A |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the unique identifier code issued to Shelley Ullom by the Centers for Medicare & Medicaid Services (CMS)?
The Shelley Ullom has been assigned the NPI (National Provider Identifier) 1619094737. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Shelley Ullom is located?
The Shelley Ullom is situated at the following address: 5741 Indianola Ave, Indianapolis, IN, 462202772.
What is Shelley Ullom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shelley Ullom is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619094737 to Shelley Ullom?
The Centers for Medicare & Medicaid Services assigned the 1619094737 to Shelley Ullom on 2007-03-23.
As of what date were the details related to Shelley Ullom most recently updated or revised?
The information pertaining to Shelley Ullom, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-30.
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