Doctor Name: | BETTINA KATHLEEN SHOCKLEY |
NPI Number: | 1700867157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT23022 |
Business Practice Address: | 26357 Mcbean Pkwy Ste 220 Santa Clarita, CA - 91355 |
Business Phone Number: | 6612540077 |
Business Fax Number: | 6612542788 |
Mailing Address: | 19510 Ventura Blvd, Ste 106 TARZANA |
State: | CA |
Postal Code: | 913562969 |
Phone Number: | 8189961725 |
Fax Number: | 8189960210 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT23022 |
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 |