Provider Demographics
NPI:1679284954
Name:BIGBY, LI-SHANN YVONNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:LI-SHANN
Middle Name:YVONNE
Last Name:BIGBY
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 1:11660 WATERBEND CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8851
Mailing Address - Country:US
Mailing Address - Phone:561-225-5438
Mailing Address - Fax:
Practice Address - Street 1:3002 N 18TH ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64505-1872
Practice Address - Country:US
Practice Address - Phone:816-279-1591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist