National Provider Identifier
Shantell Dustin, DPT, PTA, ATC
Shantell Dustin, DPT, PTA, ATC is listed in the NPPES registry with a primary specialty of Physical Therapist in Depew, NY and a listed phone number of (716) 651-0100.
Profile Overview
- NPI
- 1629498738
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- April 16, 2014
- Last Updated
- July 19, 2021
Practice Location
- 5190 Transit RD
- Depew, NY 14043-4324
Phone: (716) 651-0100
Mailing Address
- Box 8000 Dept 314
- Buffalo, NY 14267-0002
Specialties
- Physical Therapist (225100000X)
- Athletic Trainer (2255A2300X)
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1629498738
- Entity Type
- Individual
- Last Name
- Dustin
- First Name
- Shantell
- Name Prefix
- Miss
- Credential
- DPT, PTA, ATC
- Mailing Street Address
- Box 8000 Dept 314
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14267-0002
- Mailing Country
- US
- Practice Street Address
- 5190 Transit RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4324
- Practice Country
- US
- Practice Phone
- (716) 651-0100
- Enumeration Date
- April 16, 2014
- Last Updated
- July 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Athletic Trainer (2255A2300X), Physical Therapy Assistant (225200000X)