Individual provider · Type 1 NPI

Gentry Shaffer, PTA

Physical Therapy Assistant · Sun City, AZ

NPI number 1104602911 Active

Practice location

14505 W Granite Valley Dr
Sun City, AZ 85375-5795

Call (623) 975-8100 Map

Mailing address

9532 W Mariposa Grande
Peoria, AZ 85383-1158

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X014131 (AZ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104602911

Gentry Shaffer, PTA's National Provider Identifier is 1104602911, issued on Sep 6, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sun City, AZ. The record was last updated on Sep 6, 2023.