Healthcare Provider Details

I. General information

NPI: 1497613418
Provider Name (Legal Business Name): KADESHIA DAVIS MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8258 HIGHWAY 31
CALERA AL
35040-6908
US

IV. Provider business mailing address

2056 HIGHVIEW WAY
CALERA AL
35040-7660
US

V. Phone/Fax

Practice location:
  • Phone: 205-492-2844
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5565
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: