Individual
MICHAEL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5109 N 49TH ST, RUSTON, WA 98407-3024
(360) 412-4400
Mailing address
5109 N 49TH ST, RUSTON, WA 98407-3024
(720) 308-8283
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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