Individual
RICOLE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-1659
(816) 346-1372
Mailing address
9720 N VIRGINIA AVE, KANSAS CITY, MO 64155-2198
(816) 506-1985
(816) 346-1372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2003020302
MO
282NC2000X
Children's Hospital
2003020302
MO
Other
Enumeration date
03/27/2014
Last updated
10/20/2023
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