| Doctor Name: | KYLE SHAFFER |
| NPI Number: | 1073950598 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 3206 |
| Business Practice Address: | 1115 M St Aurora, NE - 688182019 |
| Business Phone Number: | 4026945170 |
| Business Fax Number: | 4026945178 |
| Mailing Address: | Po Box 5285, GRAND ISLAND |
| State: | NE |
| Postal Code: | 688025285 |
| Phone Number: | 3083820344 |
| Fax Number: | 3083823241 |
| NPI Enumeration Date: | 05/23/2013 |
| NPI Last Update Date: | 05/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |