National Provider Identifier Database

MARK R SHALTRY, OTR CHT – NPI #1568437697
Hand


Contact Information

MARK R SHALTRY, OTR CHT
554 N STEELHEAD WAY
STE 162
BOISE, ID83704
Phone: 208-323-9747
Fax: 208-323-9752
Website:
Specialty Taxonomy Code
* Hand 225XH1200X
Occupational Therapist 225X00000X

* Indicates primary specialty

NPI Profile & details for MARK R SHALTRY

NPI Number 1568437697
Credentials OTR CHT
Entity Individual
Enumeration date 02/22/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: OT042
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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