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

Sandra Dianne Shively, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1669234522

Sandra Dianne Shively, COTA/L is an Occupational Therapy Assistant in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
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

1901 E Hamilton St
Kirksville, MO 63501-3904
Phone: (660) 626-1444
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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 2015001725 (MO)

Record details

NPI number1669234522
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJanuary 26, 2024
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

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