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

Individual provider Occupational Therapy Assistant · NPI 1295276137

Stacy Nichols, COTA/L is an Occupational Therapy Assistant in Potosi, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
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

1 Georgian Gardens Dr
Potosi, MO 63664-1436
Phone: (573) 438-6261
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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 2000160797 (MO)

Record details

NPI number1295276137
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMarch 11, 2017
Last updated in NPPESMarch 11, 2017