Provider Demographics
NPI:1275871857
Name:NOYES, SHELBY LEIGH (OTR)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:LEIGH
Last Name:NOYES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2366 N 5 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-9491
Mailing Address - Country:US
Mailing Address - Phone:989-225-4862
Mailing Address - Fax:
Practice Address - Street 1:2366 N 5 MILE RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-9491
Practice Address - Country:US
Practice Address - Phone:989-225-4862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201005847225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist