Provider Demographics
NPI:1932983574
Name:ANCHORED OCCUPATIONAL THERAPY
Entity type:Organization
Organization Name:ANCHORED OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, MSOT
Authorized Official - Phone:509-953-3079
Mailing Address - Street 1:23903 E JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:OTIS ORCHARDS
Mailing Address - State:WA
Mailing Address - Zip Code:99027-9777
Mailing Address - Country:US
Mailing Address - Phone:509-953-3079
Mailing Address - Fax:
Practice Address - Street 1:23903 E JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:OTIS ORCHARDS
Practice Address - State:WA
Practice Address - Zip Code:99027-9777
Practice Address - Country:US
Practice Address - Phone:509-953-3079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty