Individual
MISS ANGELA KAY SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
10 DOGWOOD TRL, SUITE D, DEBARY, FL 32713-2443
(386) 848-5528
Mailing address
758 E LACY CIR, DELTONA, FL 32725-8174
(386) 574-4449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL1251
FL
225700000X
Massage Therapist
Primary
40442
FL
Other
Enumeration date
07/18/2006
Last updated
12/31/2014
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