National Provider Identifier

Jennifer Shields, DPT

Jennifer Shields, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Webster, NY and a listed phone number of (585) 671-1030.

NPI 1366927162Webster, NYPhysical Therapist

Profile Overview

NPI
1366927162
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 27, 2018
Last Updated
April 27, 2020

Practice Location

  • 2000 Empire Blvd Bldg 2
  • Webster, NY 14580-1957

Phone: (585) 671-1030

Mailing Address

  • 153 Hutchinson Avenue
  • Ingersoll, Ontario 536
  • CA

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1366927162
Entity Type
Individual
Last Name
Shields
First Name
Jennifer
Credential
DPT
Mailing Street Address
153 Hutchinson Avenue
Mailing City
Ingersoll
Mailing State
Ontario
Mailing ZIP Code
536
Mailing Country
CA
Practice Street Address
2000 Empire Blvd Bldg 2
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-1957
Practice Country
US
Practice Phone
(585) 671-1030
Practice Fax
(585) 671-1991
Enumeration Date
September 27, 2018
Last Updated
April 27, 2020
Sex
Female
Sole Proprietor
No
Certification Date
April 27, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)