MEDICARE: MRS. KATELYN SHELTON BRUFF COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	11935	NC

General Provider Information

NPI Number	:	1043150873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATELYN SHELTON BRUFF COTA/L

Provider Business Mailing Address
First Line	:	250 COUNTY SCHOOL RD
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27292-5670
Country	:	US
Telephone Number	:	336-249-8182
Fax Number	:	336-249-1062

Provider Business Practice Location Address
First Line	:	250 COUNTY SCHOOL RD
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27292-5670
Country	:	US
Telephone Number	:	336-249-8182
Fax Number	:	336-249-1062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “ MRS. KATELYN SHELTON BRUFF COTA/L” Practice Location

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