Individual
KYLE D. SHEAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
235 S 33RD ST, PHILADELPHIA, PA 19104-6322
(215) 615-4400
(215) 615-4405
Mailing address
208 PINE RIDGE RD, HAVERTOWN, PA 19083-4735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004560
PA
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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