National Provider Identifier

Michaelene Shutts, PT

Michaelene Shutts, PT is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician in Rochester, NY and a listed phone number of (585) 720-9608.

NPI 1164554374Rochester, NYPhysical Medicine & Rehabilitation Physician

Profile Overview

NPI
1164554374
Provider Type
Individual
Primary Specialty
Physical Medicine & Rehabilitation Physician
Enumeration Date
March 12, 2007
Last Updated
April 14, 2008

Practice Location

  • 384 East Ave Ste B
  • Rochester, NY 14607-1909

Phone: (585) 720-9608

Specialties

  • Physical Medicine & Rehabilitation Physician (208100000X)
Full Record
NPI
1164554374
Entity Type
Individual
Last Name
Shutts
First Name
Michaelene
Credential
PT
Mailing Street Address
384 East Ave Ste B
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1909
Mailing Country
US
Mailing Phone
(585) 720-9608
Practice Street Address
384 East Ave Ste B
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1909
Practice Country
US
Practice Phone
(585) 720-9608
Enumeration Date
March 12, 2007
Last Updated
April 14, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Medicine & Rehabilitation Physician (208100000X)
Other Identifiers
RB6104 (NY, Medicare Ptan)