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NPI Code Detail

MEDICARE: LAURA ANN SHAFER PT

MEDICARE: LAURA ANN SHAFER 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 Therapist1112TN

General Provider Information

NPI Number : 1992923320
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ANN SHAFER PT
Provider Business Mailing Address
First Line : 2016 STOKES LN
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-1520
Country : US
Telephone Number : 615-297-6346
Fax Number :
Provider Business Practice Location Address
First Line : 2016 STOKES LN
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-1520
Country : US
Telephone Number : 615-297-6346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/08/2007

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Directions to “ LAURA ANN SHAFER PT” Practice Location

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