Individual
DR. KATHLEEN NICOLE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15543 N REEMS RD, SURPRISE, AZ 85374-9582
(623) 975-5374
Mailing address
15943 W PARADISE LN, SURPRISE, AZ 85374-5854
(928) 232-9282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7621
AZ
Other
Enumeration date
05/03/2007
Last updated
04/23/2010
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