Individual
KYLE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3601 CIMARRON PLZ STE 100, HASTINGS, NE 68901-2883
(402) 463-2085
(402) 463-2062
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 382-0344
(308) 382-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3206
NE
Other
Enumeration date
05/23/2013
Last updated
06/03/2020
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