Mark Shaltry, OTR CHT

NPI 1568437697 · on the registry since 2006

Practice

Address: 554 N Steelhead Way
Ste 162
Boise, ID 83704
Phone: (208) 323-9747
Fax: (208) 323-9752
Organisation at this address: Blair Legacy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 225XH1200X
225XH1200X
Also registered as: 225X00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho