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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 Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARK R SHALTRY · (Male)

NPI # 1568437697
Status Active
Credentials OTR CHT
Entity Individual
Enumeration date 02/22/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # OT042
Hospital affiliation(s) Not Available
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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