Provider Demographics
NPI:1740307867
Name:ARNOLD, SHELLY DAWN (OTR)
Entity type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:DAWN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:SHELLY
Other - Middle Name:DAWN
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:821 GOLFVIEW COURT
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401
Mailing Address - Country:US
Mailing Address - Phone:785-825-5497
Mailing Address - Fax:
Practice Address - Street 1:1410 E IRON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3284
Practice Address - Country:US
Practice Address - Phone:316-685-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-01605225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist