Provider Demographics
NPI:1114932795
Name:SHAIBI, STEFANY D (DPT)
Entity Type:Individual
Prefix:
First Name:STEFANY
Middle Name:D
Last Name:SHAIBI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:STEFANY
Other - Middle Name:D
Other - Last Name:SPEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1055 S ARIZONA AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6511
Mailing Address - Country:US
Mailing Address - Phone:480-726-3305
Mailing Address - Fax:480-726-3508
Practice Address - Street 1:1055 S ARIZONA AVE
Practice Address - Street 2:STE 1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6511
Practice Address - Country:US
Practice Address - Phone:480-726-3305
Practice Address - Fax:480-726-3508
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7432225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ7432OtherPT LICENSE
AZ7432OtherPT LICENSE