NPI 1003427006

Travis Wade Shaffer

Practitioner Physical Therapy Assistant Ceres, CA

Practice location

Address: 2908 E Whitmore Ave STE E, Ceres, CA 95307-2800
Phone: (209) 264-8934

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 50546 (CA)

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Registry record

NPI: 1003427006
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2020
Record last updated: 9 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.