| Doctor Name: | SHELLY ANN CLOUGHLEY |
| NPI Number: | 1104817345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT21058 |
| Business Practice Address: | 26357 Mcbean Pkwy Suite 220 Santa Clarita, CA - 913554488 |
| Business Phone Number: | 6612540077 |
| Business Fax Number: | 6612542788 |
| Mailing Address: | 19510 Ventura Blvd, Suite 106 TARZANA |
| State: | CA |
| Postal Code: | 91356 |
| Phone Number: | 8189961725 |
| Fax Number: | 8189960210 |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 09/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT21058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |