Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Clarine Ellison, OTD

Individual provider Occupational Therapist · NPI 1427698927

Dr. Mary Clarine Ellison, OTD is an Occupational Therapist in Cheyenne, Wyoming. Licensed in Colorado and Wyoming. Registered with an NPI since 2020.

Licensed in
CO, WY
In the registry since
2020
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

3128 Boxelder Dr
Cheyenne, WY 82001-5808
Phone: (307) 634-7901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-1472 (WY)
Occupational Therapist Taxonomy 225X00000X · Licence OT-6066 (CO)

Record details

NPI number1427698927
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

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