Doctor Name: | MR. JAMES PETER SHAY |
NPI Number: | 1992922538 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 05004152A |
Business Practice Address: | 22818 Old Us 20 Elkhart, IN - 465169150 |
Business Phone Number: | 5743891231 |
Business Fax Number: | 5743891232 |
Mailing Address: | 101 W Est Sycamore St, Po Box 602 WAKARUSA |
State: | IN |
Postal Code: | 46573 |
Phone Number: | 5748623128 |
Fax Number: | 5748623128 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05004152A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |