Lisa E Shallenburger in Joplin - Occupational Therapist

Lisa E Shallenburger - NPI 1336295294

Lisa E Shallenburger is a Occupational Therapist in Joplin, Missouri. Lisa E Shallenburger practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Lisa E Shallenburger is 1336295294. The last update date is 2007-07-08.

Lisa E Shallenburger's current location address is 1717 E 15th St, Joplin, Missouri. You can contact this provider via phone number 4176255290 and fax number 4176255297. The mailing address for Lisa E Shallenburger is 1717 E 15th St, Joplin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa E Shallenburger
Address 1717 E 15th St, Joplin, Missouri
Phone Number 4176255290
Fax Number 4176255297
Sole Proprietor N
Credentials OTR

NPI Number Detail

NPI Number 1336295294
Provider Enumeration Date 2007-01-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1717 E 15th St
City Joplin
State Missouri (MO)
Post Code 648040907
Phone Number 4176255290
Fax Number 4176255297

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 2001007166
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2001007166 MO MO BOARD OF OT

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FAQs about Lisa E Shallenburger

What is the unique 10-digit identification code assigned to Lisa E Shallenburger by the Centers for Medicare & Medicaid Services?

The Lisa E Shallenburger has been issued the NPI (National Provider Identifier) 1336295294, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Lisa E Shallenburger's physical address?

The Lisa E Shallenburger is physically located at 1717 E 15Th St, in the city of Joplin, MO, with the postal code 648040907.

What is Lisa E Shallenburger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lisa E Shallenburger's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1336295294 to Lisa E Shallenburger?

The Centers for Medicare & Medicaid Services assigned the 1336295294 to Lisa E Shallenburger on 2007-01-25.

When was the information pertaining to Lisa E Shallenburger most recently updated or revised?

The details related to Lisa E Shallenburger, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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