# SHAD MICHAEL ST. LOUIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588996961
- **Gender:** Man
- **Credential:** MS, OTR, CDRS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224ZR0403X | Driving and Community Mobility Occupational Therapy Assistant | 1927 | CO | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 1927 | CO | Yes |

## Other

- **Enumeration date:** 02/09/2010
- **Last updated:** 02/09/2010