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NPI Code Detail

MEDICARE: MISS SHRITI S SHAH PT

MEDICARE: MISS SHRITI S SHAH PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1329115TX

General Provider Information

NPI Number : 1073176889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHRITI S SHAH PT
Provider Business Mailing Address
First Line : 17754 PRESTON RD
Second Line : ST 100
City : DALLAS
State : TX
Zip : 75252-5965
Country : US
Telephone Number : 469-343-4202
Fax Number :
Provider Business Practice Location Address
First Line : 17754 PRESTON RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75252-5638
Country : US
Telephone Number : 469-343-4202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2019
Last Update Date : 02/24/2025

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Directions to “ MISS SHRITI S SHAH PT” Practice Location

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