Healthcare Provider Details

I. General information

NPI: 1295651073
Provider Name (Legal Business Name): EKATERINA SHEFTEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2669 SCENIC DR
ALAMOGORDO NM
88310-8700
US

IV. Provider business mailing address

3489 FORESTDALE DR APT 2A
BURLINGTON NC
27215-8223
US

V. Phone/Fax

Practice location:
  • Phone: 575-439-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP23806
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: