| Doctor Name: | SHABEEBA PALLICKAL SHAFI |
| NPI Number: | 1447597323 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 031422 |
| Business Practice Address: | 815 Se Klemgard St Pullman, WA - 991635430 |
| Business Phone Number: | 5093349488 |
| Business Fax Number: | 5093346819 |
| Mailing Address: | 1952 E Fort Union Blvd, Suite 100 SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841216877 |
| Phone Number: | 8014568409 |
| Fax Number: | 8014568413 |
| NPI Enumeration Date: | 01/11/2013 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 031422 |
| 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 |