Healthcare Provider Details

I. General information

NPI: 1013260884
Provider Name (Legal Business Name): JULIEANN SHAFFER MORSE M.ED., OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2012
Last Update Date: 10/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N BERNARD ST
SPOKANE WA
99201-0206
US

IV. Provider business mailing address

1001 S BUENA VISTA DR
SPOKANE WA
99224-2203
US

V. Phone/Fax

Practice location:
  • Phone: 509-354-7265
  • Fax: 509-354-5963
Mailing address:
  • Phone: 509-475-4012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT00000592
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License NumberOT00000592
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT00000592
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT00000592
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: