Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LANE MARTY SHOCKMAN, PTA
ActiveLANE MARTY SHOCKMAN, PTA is a Occupational Therapist healthcare provider located in HERMISTON, Oregon. NPI 1487100376 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HERMISTON, OR
Registration Details
- NPI Number
- 1487100376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2016 (9.9144816074992 yrs)
- Last Updated
- Aug 30, 2016
- License
-
09190 (OR)
Practice Information
- Address
-
600 NW 11TH STSUITE E31HERMISTON, OR, 978388605Browse OR providers · Browse ZIP 97838
- Phone
- 5416673657
- Fax
- 5416673659
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in HERMISTON, OR
| Name | Credential | NPI |
|---|---|---|
| EDWINNA HURST | PTA | 1972618676 |
| MICHELE MAYER | — | 1225461262 |
| KAITLIN JEZIOROWSKI | PTA | 1265985949 |
| STACEY GERSBACH | — | 1942782206 |
| PAVLA BARTKOVA | — | 1205310406 |
| NICOLE A TOMBERS | PTA | 1821565938 |
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.