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

Shelly Ranae Waddle, OTA

Individual provider Occupational Therapy Assistant · NPI 1730386756

Shelly Ranae Waddle, OTA is an Occupational Therapy Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

1013 SW 128th St
Oklahoma City, OK 73170-6951
Phone: (405) 691-3418
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 473 (OK)

Record details

NPI number1730386756
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESJuly 8, 2007

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