Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE MICHAEL DISHEAUX, COTA
ActiveMR. SHANE MICHAEL DISHEAUX, COTA is a Occupational Therapy Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1508063645 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1508063645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2007 (19.148747879187 yrs)
- Last Updated
- Jul 8, 2007
- License
-
32001345A (IN)
Practice Information
- Address
-
2827 NORTHGATE BLVDFORT WAYNE, IN, 468352903Browse IN providers · Browse ZIP 46835
- Phone
- 2604921498
- Fax
- 2604921674
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| NANCY SHEPLER | COTA | 1699819664 |
| CHASSIDY JOHNSON | COTA | 1780728485 |
| MISS TYWANNA LASHEA JACKSON | COTA | 1376662015 |
| MISS NATASHA REBECCA KEVER | C.O.T.A. | 1649499575 |
| TIFFANY C MCGOWN | COTA | 1487874806 |
| MS. JILL MARIE DELZEITH | COTA | 1134335193 |
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.