Provider Demographics
NPI:1831065259
Name:ZELLARS, MICHELE (COTA/L)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:ZELLARS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:SIMPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:3141 TRACKER LN
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29851-2057
Mailing Address - Country:US
Mailing Address - Phone:706-726-0036
Mailing Address - Fax:
Practice Address - Street 1:3525 AUGUSTUS RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-2701
Practice Address - Country:US
Practice Address - Phone:803-642-8376
Practice Address - Fax:706-726-0036
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3093224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant