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

Nichole Lynn Shaw, OTA

Individual provider Occupational Therapy Assistant · NPI 1598207888

Nichole Lynn Shaw, OTA is an Occupational Therapy Assistant in Altus, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.

Licensed in
OK
In the registry since
2016

Practice location Address checks out

1200 E Pecan St
Altus, OK 73521-6141
Phone: (580) 379-5820
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 1760 (OK)

Record details

NPI number1598207888
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedNovember 17, 2016
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

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