MR. KEITA SHIMADA MK, LAT, ATC
NPI 1386053213
Specialist in Boise, ID

Q: What is Keita Shimada's NPI number?

The NPI number for Keita Shimada is 1386053213. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Q: What is Keita Shimada's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Keita Shimada was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2014

1910 UNIVERSITY DR # MS 1020, BOISE, ID 83725(208) 407-6526 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Keita Shimada Mk, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEITA SHIMADA MK, LAT, ATC (NPI 1386053213) is an individual specialist in Boise, Idaho, licensed in Idaho (AT-334) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1386053213

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. KEITA SHIMADACredential: MK, LAT, ATC

Location Address1910 UNIVERSITY DR # MS 1020Boise, ID 83725-0001

Mailing Address1910 University Dr # Ms 1020Boise, ID 83725-0001

Phone(208) 407-6526

Sole ProprietorNo

Enumeration DateAugust 5, 2014

✔ NPI 1386053213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in ID · AT-334

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1910 UNIVERSITY DR # MS 1020, Boise, ID 83725

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR JAMES HARDING MA, LAT, ATC

Specialist

1910 UNIVERSITY DR # MS 1020
BOISE, ID 83725

Ada County (208) 949-9655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keita Shimada's NPI number?

The NPI number for Keita Shimada is 1386053213. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Where is Keita Shimada located?

Keita Shimada practices at 1910 University Dr # Ms 1020, Boise, ID 83725. The listed phone number is (208) 407-6526.

What is Keita Shimada's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Keita Shimada was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.