Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaqueline Maria Shafer

Individual provider Occupational Therapist · NPI 1508380171

Jaqueline Maria Shafer is an Occupational Therapist in Ellisville, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

105 Bonnybridge Ct
Ellisville, MO 63021-4507
Phone: (314) 914-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 005080 (MO)
Environmental Modification Occupational Therapist Taxonomy 225XE0001X · Licence 005080 (MO)

Record details

NPI number1508380171
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2017
Last updated in NPPESJuly 21, 2022

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