Doctor Name: | MISS SHAINA EILEEN ETTINGER |
NPI Number: | 1982619656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5390 |
Business Practice Address: | 13203 N 103rd Ave Sun City, AZ - 853513028 |
Business Phone Number: | 8669334248 |
Business Fax Number: | 6239337049 |
Mailing Address: | Po Box 3497, STURTEVANT |
State: | WI |
Postal Code: | 531770300 |
Phone Number: | 8775522996 |
Fax Number: | 8662458064 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |