Taketa, Shelly
Taketa, Shelly is an sole proprietor health care provider with primary practice located at 1928 Saint Marys Rd , Moraga CA 94575-2715. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Taketa, Shelly can be contacted via phone (925) 876-7347.Contact Information
Primary practice address
1928 Saint Marys Rd
Moraga CA 94575-2715
Phone: (925) 876-7347
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | California |
Profile Details
| NPI number | 1295117182 |
|---|---|
| LBN Legal business name | Taketa, Shelly |
| Credentials | M.S., ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2015 |
| Last updated | Jun 26th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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