Shaltry, Mark Richard

Shaltry, Mark Richard is an individual health care provider with primary practice located at 554 N Steelhead Way Ste 162, Boise ID 83704. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Shaltry, Mark Richard can be contacted via phone (208) 323-9747.

Contact Information

Primary practice address
554 N Steelhead Way Ste 162 Boise ID 83704
Phone: (208) 323-9747
Fax: (208) 323-9752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT042 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT042 Idaho

Profile Details

NPI number 1568437697
LBN Legal business name Shaltry, Mark Richard
Credentials OTR CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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