Individual provider · Type 1 NPI

Jacqueline Danielle Shiftlett, PTA

Physical Therapy Assistant · Orlando, FL

NPI number 1639401433 Active

Practice location

11301 Corporate Blvd Ste 101
Orlando, FL 32817-8355

Call (800) 774-7785 Map

Fax (888) 345-7994

Mailing address

1409 Periwinkle Ct.
Lakeland, FL 33811

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X20546 (FL)

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 1639401433

Jacqueline Danielle Shiftlett, PTA's National Provider Identifier is 1639401433, issued on Feb 3, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Orlando, FL. The record was last updated on Aug 6, 2010.