Individual
MRS. KAYLA MARIE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 794-6632
Mailing address
884 S LADNER PKWY, MIDLAND, MI 48640-8915
(517) 420-8316
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201008474
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201008474
—
MI
Enumeration date
11/15/2018
Last updated
11/15/2018
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