Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITA SHIMADA, MK, LAT, ATC

Active

MR. KEITA SHIMADA, MK, LAT, ATC is a Specialist healthcare provider located in BOISE, Idaho. NPI 1386053213 is currently active in the NPPES registry. Verify at CMS.

Specialist · BOISE, ID

Registration Details

NPI Number: 1386053213
Provider Type: Individual
Gender: Male
NPI Issued: Aug 5, 2014 (11.882209341197 yrs)
Last Updated: Aug 5, 2014
License: AT-334 (ID)

Practice Information

Address: 1910 UNIVERSITY DR # MS 1020

BOISE, ID, 837250001
Browse ID providers · Browse ZIP 83725
Phone: 2084076526
Primary Specialty: Specialist
174400000X

Other Specialist Providers in BOISE, ID

Name	Credential	NPI
DR. RONALD E. LOWRY	M.D., D.D.S., P.A.	1992797641
DR. JENNIFER G. GOTTO	M.D.	1518941459
BREK DAVID STOKER	AUD, CCC-A	1609822402
DR. SCOTT L CHRISTENSEN	MD	1386672228
RICHARD C RIPPLE JR.	M.D.	1497861769
DR. ERIC GREGORY THOMPSON	DPT	1063514867

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.