Doctor Name: | KIRTI SHETTY |
NPI Number: | 1255671285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.T |
License Number: | 033792 |
Business Practice Address: | 3161 Kennedy Blvd North Bergen, NJ - 070472303 |
Business Phone Number: | 2019372758 |
Business Fax Number: | |
Mailing Address: | 45 Cottage St, Apt # 4 JERSEY CITY |
State: | NJ |
Postal Code: | 073062800 |
Phone Number: | 2019126420 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2013 |
NPI Last Update Date: | 02/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 033792 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |