MEDICARE: STEVEN SHUTT DPT

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
1	225100000X	Physical Therapist	PT024238	PA

General Provider Information

NPI Number	:	1578954251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN SHUTT DPT

Provider Business Mailing Address
First Line	:	8001 ROWAN RD
Second Line	:	STE 104
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-3616
Country	:	US
Telephone Number	:	724-591-8005
Fax Number	:	724-591-8205

Provider Business Practice Location Address
First Line	:	8001 ROWAN RD
Second Line	:	STE 104
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-3616
Country	:	US
Telephone Number	:	724-591-8005
Fax Number	:	724-591-8205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	02/17/2015

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Directions to “ STEVEN SHUTT DPT” Practice Location

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