Provider Demographics
NPI:1568445492
Name:SHEFFERLY, JANET (OTR/L)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:SHEFFERLY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 WOODLAND SQUARE LOOP SE
Mailing Address - Street 2:C
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-1038
Mailing Address - Country:US
Mailing Address - Phone:360-786-9400
Mailing Address - Fax:360-786-9400
Practice Address - Street 1:669 WOODLAND SQUARE LOOP SE
Practice Address - Street 2:C
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1038
Practice Address - Country:US
Practice Address - Phone:360-786-9400
Practice Address - Fax:360-786-9400
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00000549225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics