Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelby Renee Nicholson, COTA

Individual provider Occupational Therapy Assistant · NPI 1174126338

Kelby Renee Nicholson, COTA is an Occupational Therapy Assistant in West Memphis, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2020
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

610 N Missouri St Ste 1
West Memphis, AR 72301-3148
Phone: (870) 400-0179
Fax: (870) 400-0479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OT-A1668 (AR)

Record details

NPI number1174126338
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

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