Provider Demographics
NPI:1396545232
Name:MCCLURE, AVERY KAY (OTR/L)
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:KAY
Last Name:MCCLURE
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 1:1621 COUNTY ROAD 831
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35057-1975
Mailing Address - Country:US
Mailing Address - Phone:256-962-6366
Mailing Address - Fax:
Practice Address - Street 1:1952 N BRINDLEE MOUNTAIN PKWY
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5433
Practice Address - Country:US
Practice Address - Phone:256-931-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6574225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist