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1356097281 NPI number — ELIZABETH PAIGE SHAFER PT, DPT

NPI Number: 1356097281
Health Care Provider/Practitioner: ELIZABETH PAIGE SHAFER PT, DPT

Information about “1356097281” NPI (ELIZABETH PAIGE SHAFER PT, DPT) exists in 1356097281 in HTML format HTML  |  1356097281 in plain Text format TXT  |  1356097281 in PDF (Portable Document Format) PDF  |  1356097281 in an XML format XML  formats.

NPI Number : 1356097281 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356097281",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAFER",
    "FirstName": "ELIZABETH",
    "MiddleName": "PAIGE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HISSOM",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "PAIGE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PT, DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1818 JEANNE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48842-1606",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-335-1338",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3181 SANDHILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MASON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48854-9425",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "517-336-6060",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2022",
    "LastUpdateDate": "12/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "5501301883",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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