Bettina Kathleen Shockley in Tarzana - Physical Therapist
Bettina Kathleen Shockley - NPI 1700867157
Bettina Kathleen Shockley is a Physical Therapist in Tarzana, California. Bettina Kathleen Shockley practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Bettina Kathleen Shockley is 1700867157. The last update date is 2014-04-21.
Bettina Kathleen Shockley's current location address is 19510 Ventura Blvd, Tarzana, California. You can contact this provider via phone number 8189961725 and fax number 8189960210. The mailing address for Bettina Kathleen Shockley is 19510 Ventura Blvd, Tarzana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bettina Kathleen Shockley |
|---|---|
| Address | 19510 Ventura Blvd, Tarzana, California |
| Phone Number | 8189961725 |
| Fax Number | 8189960210 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1700867157 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2014-04-21 |
Provider Mailing Address Detail
| Address | 19510 Ventura Blvd |
|---|---|
| City | Tarzana |
| State | California (CA) |
| Post Code | 913562969 |
| Phone Number | 8189961725 |
| Fax Number | 8189960210 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT23022 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique provider identifier assigned to Bettina Kathleen Shockley?
The Bettina Kathleen Shockley has been issued the NPI (National Provider Identifier) 1700867157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Bettina Kathleen Shockley's physical address?
The Bettina Kathleen Shockley is physically located at 19510 Ventura Blvd, in the city of Tarzana, CA, with the postal code 913562969.
What is the Bettina Kathleen Shockley's specialty and taxonomy code?
The Bettina Kathleen Shockley's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700867157 to Bettina Kathleen Shockley?
The Centers for Medicare & Medicaid Services assigned the 1700867157 to Bettina Kathleen Shockley on 2005-11-10.
When was the information regarding Bettina Kathleen Shockley most recently updated?
The details pertaining to the Bettina Kathleen Shockley, including its address, specialty, and other relevant information, were last refreshed on 2014-04-21.