Provider Demographics
NPI:1407287816
Name:SHUFF, NORA (DPT)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:SHUFF
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 1:4461 ELWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4824
Mailing Address - Country:US
Mailing Address - Phone:850-832-4010
Mailing Address - Fax:
Practice Address - Street 1:17614 FRONT BEACH RD
Practice Address - Street 2:APT 18A
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-1911
Practice Address - Country:US
Practice Address - Phone:850-832-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26625225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist