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Individual
SUMMER SHAFFER
Active
Individual
SUMMER SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3192
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00855756
RAILROAD MEDICARE
AR
01
—
P00855769
RAILROAD MEDICARE
AR
Enumeration date
12/21/2009
Last updated
03/27/2020
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