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

KIM E SHAFFER, COTA/L

Active Sole Proprietor

KIM E SHAFFER, COTA/L is a Occupational Therapy Assistant healthcare provider located in BALCH SPRINGS, Texas. NPI 1780984906 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BALCH SPRINGS, TX

Registration Details

NPI Number
1780984906
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2010 (15.824753092033 yrs)
Last Updated
Oct 22, 2010
Licenses
210886 (TX)
OTA 1464 (CA)
Sole Proprietor
Yes

Practice Information

Address
4200 SHEPHERD LANE
BALCH SPRINGS, TX, 75180
Browse TX providers · Browse ZIP 75180
Phone
9722887668
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.