Individual provider · Type 1 NPI

Shakira Tatjana Autry

Rehabilitation Practitioner · Lancaster, CA

NPI number 1801636378 Active

Practice location

348 E Avenue K4
Lancaster, CA 93535-4505

Call (661) 310-6079 Map

Mailing address

2815 W Avenue K12 Apt 170
Lancaster, CA 93536-1141

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1801636378

Shakira Tatjana Autry's National Provider Identifier is 1801636378, issued on May 30, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Lancaster, CA. The record was last updated on Apr 10, 2026.