Individual
MR. MARK RICHARD SHALTRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OTR CHT
Contact information
Practice address
554 N STEELHEAD WAY, STE 162, BOISE, ID 83704
(208) 323-9747
(208) 323-9752
Mailing address
170 E STONEWATER CT, EAGLE, ID 83706
(208) 323-9747
(208) 323-9752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT042
ID
225XH1200X
Hand Occupational Therapist
Primary
OT042
ID
Other
Enumeration date
02/22/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us