Provider Demographics
NPI:1568564409
Name:MUHLENKAMP, SHELLY ELIZABETH (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:ELIZABETH
Last Name:MUHLENKAMP
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SELDOM SEEN RD
Mailing Address - Street 2:
Mailing Address - City:BRADFORDWOODS
Mailing Address - State:PA
Mailing Address - Zip Code:15015-1321
Mailing Address - Country:US
Mailing Address - Phone:724-799-8275
Mailing Address - Fax:
Practice Address - Street 1:3 SAINT FRANCIS WAY
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-5122
Practice Address - Country:US
Practice Address - Phone:724-772-5340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019231225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist