National Provider Identifier
Shelly Diane Rusin, PTA
Shelly Diane Rusin, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Waverly, NY and a listed phone number of (607) 565-6259.
Profile Overview
- NPI
- 1891287967
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- June 04, 2018
- Last Updated
- June 04, 2018
Practice Location
- 37 N Chemung St
- Waverly, NY 14892-1211
Phone: (607) 565-6259
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1891287967
- Entity Type
- Individual
- Last Name
- Rusin
- First Name
- Shelly
- Middle Name
- Diane
- Credential
- PTA
- Mailing Street Address
- 37 N Chemung St
- Mailing City
- Waverly
- Mailing State
- NY
- Mailing ZIP Code
- 14892-1211
- Mailing Country
- US
- Mailing Phone
- (607) 565-6259
- Practice Street Address
- 37 N Chemung St
- Practice City
- Waverly
- Practice State
- NY
- Practice ZIP Code
- 14892-1211
- Practice Country
- US
- Practice Phone
- (607) 565-6259
- Enumeration Date
- June 04, 2018
- Last Updated
- June 04, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)