Individual provider · Type 1 NPI
Ivy Lea Shelmadine, PT, DPT
Pediatric Physical Therapist · Waxahachie, TX
Practice location
211 Stampede St
Waxahachie, TX 75165-8794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 1168519 (TX) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1497972228
Ivy Lea Shelmadine, PT, DPT's National Provider Identifier is 1497972228, issued on Apr 20, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Waxahachie, TX. The record was last updated on Jul 21, 2007.