Provider Demographics
NPI:1083912810
Name:MISTRY, SHEILA HEMANT (DPT)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:HEMANT
Last Name:MISTRY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 WOODLEAF WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3844
Mailing Address - Country:US
Mailing Address - Phone:650-793-5146
Mailing Address - Fax:
Practice Address - Street 1:130 WOODLEAF WAY
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3844
Practice Address - Country:US
Practice Address - Phone:650-793-5146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37432225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist