National Provider Identifier
Shelby Linnea Carlson
Shelby Linnea Carlson is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Medina, NY and a listed phone number of (585) 798-1053.
Profile Overview
- NPI
- 1588134670
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- November 30, 2018
- Last Updated
- November 30, 2018
Practice Location
- 11075 W Center Street Ext
- Medina, NY 14103-9557
Phone: (585) 798-1053
Mailing Address
- 2862 Route 62
- Kennedy, NY 14747-9518
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1588134670
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Shelby
- Middle Name
- Linnea
- Mailing Street Address
- 2862 Route 62
- Mailing City
- Kennedy
- Mailing State
- NY
- Mailing ZIP Code
- 14747-9518
- Mailing Country
- US
- Mailing Phone
- (716) 969-7751
- Practice Street Address
- 11075 W Center Street Ext
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-9557
- Practice Country
- US
- Practice Phone
- (585) 798-1053
- Enumeration Date
- November 30, 2018
- Last Updated
- November 30, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)