Individual provider · Type 1 NPI

Shota Irie

Student in an Organized Health Care Education/Training Program · Athens, OH

NPI number 1306754056 Active

Practice location

10 Rufus St
Athens, OH 45701-1946

Call (870) 267-0706 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306754056

Shota Irie's National Provider Identifier is 1306754056, issued on Sep 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Athens, OH. The record was last updated on Sep 1, 2026.