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

Mrs. Shelly Moore, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1730535022

Mrs. Shelly Moore, COTA/L is an Occupational Therapy Assistant in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016
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

18504 Bothell Way NE
Bothell, WA 98011-1927
Phone: (425) 481-1933
Fax: (425) 481-9371
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 OC 60597494 (WA)

Record details

NPI number1730535022
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2016

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