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NPI Code Detail

MEDICARE: MELISSA SHAFER OTR/L

MEDICARE: MELISSA SHAFER OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0019XPhysical Rehabilitation Occupational Therapist1750WY

General Provider Information

NPI Number : 1144179193
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SHAFER OTR/L
Provider Business Mailing Address
First Line : 90 LONGHORN DR
Second Line :
City : BUFFALO
State : WY
Zip : 82834-9317
Country : US
Telephone Number : 402-741-2129
Fax Number :
Provider Business Practice Location Address
First Line : 497 W LOTT ST
Second Line :
City : BUFFALO
State : WY
Zip : 82834-1658
Country : US
Telephone Number : 307-684-6172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ MELISSA SHAFER OTR/L” Practice Location

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