Shane Kolodziejski, CMA
Technician, Attendant Care Provider in Chillicothe, OH. Individual provider (NPI-1).
NPI number1699664367
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1699664367
- Entity type
- Individual (NPI-1)
- Name
- Shane Kolodziejski
- Credential
- CMA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
1049 Western AveChillicothe, OH 45601-1104
Phone 740-773-4366
Mailing address
Po Box 188Chillicothe, OH 45601-0188
Phone 740-773-4366
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