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

Mallory Nichole Shoukletovich, MSOTR/L

Individual provider Occupational Therapist · NPI 1225695901

Mallory Nichole Shoukletovich, MSOTR/L is an Occupational Therapist in Springfield, Tennessee. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3131 Tom Austin Hwy
Springfield, TN 37172-4801
Phone: (615) 382-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1225695901
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESMay 28, 2019

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