Provider Demographics
NPI:1639758170
Name:READY, SHELBY ALEXIS (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:ALEXIS
Last Name:READY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9305 AUTUMN LEAF DR N
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-8435
Mailing Address - Country:US
Mailing Address - Phone:251-454-6655
Mailing Address - Fax:
Practice Address - Street 1:9015 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5525
Practice Address - Country:US
Practice Address - Phone:850-828-8755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
FL21793225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist