Shufflebarger, Kathy J
Shufflebarger, Kathy J is an individual health care provider with primary practice located at 1215 E Orange St , Lakeland FL 33801-5762. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Shufflebarger, Kathy J can be contacted via phone (863) 802-3800.Contact Information
Primary practice address
1215 E Orange St
Lakeland FL 33801-5762
Phone: (863) 802-3800
Fax: (863) 802-0480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1944 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | PT1944 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT0001944 | Florida |
Profile Details
| NPI number | 1881707305 |
|---|---|
| LBN Legal business name | Shufflebarger, Kathy J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jan 13th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881707305 | NPPES |
| Florida | MEDICAID | 880329300 | |
| Florida | Other | 1342502 | |
| Florida | Other | PT1944 | |
| Florida | Other | Y905L |
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