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NPI Code Detail

MEDICARE: DEANNA SHETLER PT

MEDICARE: DEANNA SHETLER 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 Therapist2305206136VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12305206136OTHERVAPHYSICAL THERAPIST

General Provider Information

NPI Number : 1922177658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA SHETLER PT
Provider Business Mailing Address
First Line : 601 RIVER GATE RD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23322-3489
Country : US
Telephone Number : 952-261-9078
Fax Number :
Provider Business Practice Location Address
First Line : 1400 FORDHAM DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-5368
Country : US
Telephone Number : 757-361-3951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 06/17/2026

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