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

Mr. Shane David Frasher, COTA

Individual provider Occupational Therapy Assistant · NPI 1205487444

Mr. Shane David Frasher, COTA is an Occupational Therapy Assistant in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3540 S 43rd St
Milwaukee, WI 53220-1502
Phone: (414) 328-2104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 469-27 (WI)

Record details

NPI number1205487444
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedSeptember 27, 2019
Last updated in NPPESSeptember 27, 2019
Mailing address3540 S 43rd St, Milwaukee, WI 53220-1502

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