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Christopher Michael Laise

Occupational Therapy Assistant in Shelton, WA. Individual provider (NPI-1).

NPI number1952811002
StatusActive
Last updated in NPPESOct 3, 2017

Details

NPI
1952811002
Entity type
Individual (NPI-1)
Name
Christopher Michael Laise
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2017
Last updated
Oct 3, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant60790708WAYes

Practice location

2430 N 13th St
Shelton, WA 98584-1213

Phone 360-426-1651

Mailing address

2019 14th Ave Nw Apt F254
Gig Harbor, WA 98335-1665

Phone 253-302-1196

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapy Assistant providers in Shelton, WA

All 7 Occupational Therapy Assistant providers in Shelton · All 803 providers in Shelton

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