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

Mrs. Shannon Anne Mayse, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1154521078

Mrs. Shannon Anne Mayse, COTA/L is an Occupational Therapy Assistant in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

501 Gatehall Ln
Ballwin, MO 63011-2720
Phone: (314) 406-3843
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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 004309 (MO)

Record details

NPI number1154521078
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJuly 19, 2007
Last updated in NPPESNovember 29, 2012

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