Provider Demographics
NPI:1417189507
Name:SINCLAIR, LAURA SHELFER (PT, NCS)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:SHELFER
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:PT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19255 POWDER HILL PL NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7455
Mailing Address - Country:US
Mailing Address - Phone:360-697-3003
Mailing Address - Fax:360-697-3026
Practice Address - Street 1:19255 POWDER HILL PL NE
Practice Address - Street 2:SUITE 200
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7455
Practice Address - Country:US
Practice Address - Phone:360-697-3003
Practice Address - Fax:360-697-3026
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008863225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPT00008863OtherWASHINGTON LICENSE