Shabeeba Pallickal Shafi, PT | |
815 Se Klemgard St, Pullman, WA 99163-5430 | |
(509) 334-9488 | |
(509) 334-6819 |
Full Name | Shabeeba Pallickal Shafi |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 815 Se Klemgard St, Pullman, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447597323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 60293643 (Washington) | Primary |
225100000X | Physical Therapist | 031422 (New York) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ida L Coryell Hirst | 5890761514 | 6 |
Provider Name | Ida L Coryell Hirst |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861494031 PECOS PAC ID: 5890761514 Enrollment ID: O20040903000606 |
Mailing Address | Practice Location Address |
---|---|
Shabeeba Pallickal Shafi, PT 1952 E Fort Union Blvd, Suite 100, Salt Lake City, UT 84121-6877 Ph: (801) 456-8409 | Shabeeba Pallickal Shafi, PT 815 Se Klemgard St, Pullman, WA 99163-5430 Ph: (509) 334-9488 |
Cheryl Lynn Rudd, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1620 Se Summit Ct, Pullman, WA 99163 Phone: 509-332-5106 | |
Elizabeth C Davis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1620 Se Summit Ct, Pullman, WA 99163 Phone: 509-332-5106 Fax: 509-334-5723 | |
Janessa Dunbar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541 | |
Edward Charles Harkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 S Grand Ave Ste B, Pullman, WA 99163 Phone: 509-338-9204 Fax: 509-338-9206 | |
Krista M Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Se Klemgard St, Pullman, WA 99163 Phone: 509-288-2218 Fax: 801-495-5298 | |
Mrs. Kimberly Ann Williams, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 588 Se Bishop Blvd Ste A, Pullman, WA 99163 Phone: 509-332-7778 Fax: 509-332-7032 | |
Mrs. Laura Nakata Vannucci, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 Se Bishop Blvd, Suite 200, Pullman, WA 99163 Phone: 509-338-9204 Fax: 509-338-9206 |