Individual
KAITLIN SHANAFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 FREDERICK ST, TYRONE, PA 16686-6801
(814) 650-4004
Mailing address
171 FREDERICK ST, TYRONE, PA 16686-6801
(814) 650-4004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI006569
PA
Other
Enumeration date
08/17/2024
Last updated
08/19/2024
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