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

SHANTAY ANDERSON

Active

SHANTAY ANDERSON is a Occupational Therapist healthcare provider located in POCATELLO, Idaho. NPI 1942829205 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · POCATELLO, ID

Registration Details

NPI Number
1942829205
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2020 (6.3404154039047 yrs)
Last Updated
Apr 15, 2020
Licenses
11433285-2402 (UT)
PTA-6180 (ID)

Practice Information

Address
527 MEMORIAL DR
POCATELLO, ID, 832014063
Browse ID providers · Browse ZIP 83201
Phone
2084783333
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in POCATELLO, ID

Name Credential NPI
FRANK TODD DIMICK ATC, LAT, LPTA 1366470031
BRYTTNIE MEAGAN ADAMS PTA 1770721052
KELLIE R ARMSTRONG PTA 1184900961
MICHAEL S HUGUES LPTA 1669758439
STEVEN D ROMRIELL PTA 1205194628
ERIN L OLSEN PTA 1861750606
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.