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

Mr. Idris Jamal Shelby

Individual provider Occupational Therapy Assistant · NPI 1679964977

Mr. Idris Jamal Shelby is an Occupational Therapy Assistant in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

2681 Sagebrush Dr
Twin Falls, ID 83301-7559
Phone: (208) 794-7964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA-1029 (ID)

Record details

NPI number1679964977
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2015
Last updated in NPPESFebruary 9, 2015

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