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

SHELBY RAE JIMENEZ, PTA

Active Sole Proprietor

SHELBY RAE JIMENEZ, PTA is a Occupational Therapist healthcare provider located in WASILLA, Alaska. NPI 1720568611 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WASILLA, AK

Registration Details

NPI Number
1720568611
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2018 (7.9413931567783 yrs)
Last Updated
Aug 20, 2018
License
116806 (AK)
Sole Proprietor
Yes

Practice Information

Address
3190 E MERIDIAN PARK LOOP STE 206A
WASILLA, AK, 996547422
Browse AK providers · Browse ZIP 99654
Phone
9073739462
Fax
9073739463
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in WASILLA, AK

Name Credential NPI
JAMES MICHAEL HALES PTA 1982828281
MRS. WENDY CHANTEL MOREIKO PTA 1629261029
KIMBERLY KAY BUSH PTA 1467775098
ASHLEE MARIE VINSON PTA 1992022438
CATHERINE S WINTER 1427332105
TESSA ERICKSON PTA 1790060143
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.