MICHAEL SHAFFER COTA NPI 1740654318

NPI Information

  • NPI: 1740654318
  • Provider Name: MICHAEL SHAFFER, COTA
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 5109 N 49TH ST
    RUSTON, WA
    ZIP 98407
  • Phone: (360) 412-4400

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NPI Details

Michael Shaffer, COTA is a student in an organized health care education training program in Ruston, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Michael Shaffer, COTA NPI is 1740654318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5109 N 49TH ST
RUSTON, WA
ZIP 98407-024
Phone: (360) 412-4400

The enumeration date for this NPI number is 11/19/2015 and was last updated on 11/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramWASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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