NPI Profile for MARK R SHALTRY in BOISE, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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MARK R SHALTRY
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