MEDICARE: SHEILA DALLEY PT, MS

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	1159133	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609977248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA DALLEY PT, MS

Provider Business Mailing Address
First Line	:	1302 CHARDONNAY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3102
Country	:	US
Telephone Number	:	832-524-8784
Fax Number	:	346-570-4286

Provider Business Practice Location Address
First Line	:	1302 CHARDONNAY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3102
Country	:	US
Telephone Number	:	832-524-8784
Fax Number	:	346-570-4286

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	12/23/2024

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