Doctor Name: | MRS. HEATHER RENAE SHAH |
NPI Number: | 1114185816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501015693 |
Business Practice Address: | 5447 Woodward Ave Detroit, MI - 482024009 |
Business Phone Number: | 3138321100 |
Business Fax Number: | 3138323025 |
Mailing Address: | 5447 Woodward Ave, DETROIT |
State: | MI |
Postal Code: | 482024009 |
Phone Number: | 3138321100 |
Fax Number: | 3138323025 |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 10/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501015693 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |