Malissa Kei Shadle, DPT
Physical Therapist in Glendale, CA. Individual provider (NPI-1).
NPI number1649001033
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1649001033
- Entity type
- Individual (NPI-1)
- Name
- Malissa Kei Shadle
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2024
- Certification date
- Jul 27, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 306540 | CA | Yes |
Practice location
425 E Colorado St Ste 440Glendale, CA 91205-1675
Phone 833-477-6878
Mailing address
425 E Colorado St Ste 440Glendale, CA 91205-1675
Phone 833-477-6878
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All 165 Physical Therapist providers in Glendale · All 8,236 providers in Glendale
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