Provider Demographics
NPI:1396636296
Name:LOWERY, SHELLEY S (COTA)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:S
Last Name:LOWERY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12135 MONTWOOD DR STE 114
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0963
Mailing Address - Country:US
Mailing Address - Phone:915-224-2443
Mailing Address - Fax:915-224-2443
Practice Address - Street 1:12135 MONTWOOD DR STE 114
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0963
Practice Address - Country:US
Practice Address - Phone:915-224-2443
Practice Address - Fax:915-224-2443
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211354225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist