Search › Idaho › 174400000X
Keita Shimada, MK, LAT, ATC
NPI 1386053213 · on the registry since 2014
Practice
- Address
- 1910 University Dr # Ms 1020
Boise, ID 83725 - Phone
- (208) 407-6526
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho