Individual
SHANA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3920 W CHARLESTON BLVD STE Y, LAS VEGAS, NV 89102-1633
(818) 894-2273
(818) 357-2505
Mailing address
8025 W RUSSELL RD APT 2077, LAS VEGAS, NV 89113-1578
(630) 536-6319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2918
NV
225X00000X
Occupational Therapist
Primary
OT-2918
NV
225X00000X
Occupational Therapist
OTH-010076
AZ
225XP0200X
Pediatric Occupational Therapist
OT-2814
NV
Other
Enumeration date
08/19/2021
Last updated
05/11/2026
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