Individual provider · Type 1 NPI

Michael Shaffer, COTA

Student in an Organized Health Care Education/Training Program · Ruston, WA

NPI number 1740654318 Active

Practice location

5109 N 49th St
Ruston, WA 98407-3024

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 1740654318

Michael Shaffer, COTA's National Provider Identifier is 1740654318, issued on Nov 19, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ruston, WA. The record was last updated on Nov 19, 2015.