Individual
SHASTA D RABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13915 BURNET RD STE 103, AUSTIN, TX 78728-6518
(512) 710-6516
Mailing address
13915 BURNET RD STE 103, AUSTIN, TX 78728-6518
(512) 710-6516
(512) 355-1966
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090313
TX
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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