Individual
GENTRY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14505 W GRANITE VALLEY DR, SUN CITY, AZ 85375-5795
(623) 975-8100
Mailing address
9532 W MARIPOSA GRANDE, PEORIA, AZ 85383-1158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014131
AZ
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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