Individual
DR. KATY LAWLOR SHUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS, ATC
Contact information
Practice address
6115 PARK SOUTH DR, CHARLOTTE, NC 28210-3269
(401) 338-3265
Mailing address
833 BURNLEY RD, CHARLOTTE, NC 28210-3735
(401) 338-3265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P24464
NC
225100000X
Physical Therapist
Primary
PT013448
GA
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
03/13/2026
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