Individual
MISTY D SHAULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1921 ORTEGA ST, NAVARRE, FL 32566-4111
(850) 936-8919
Mailing address
6109 E MILTON RD, MILTON, FL 32583-7920
(334) 465-5088
(334) 465-5088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33696
FL
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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