Provider Demographics
NPI:1568932952
Name:SCHEFTIC, PAULA E (LMT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:E
Last Name:SCHEFTIC
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 ALBANY STREET,
Mailing Address - Street 2:IN THE ATWELL MILL PROF. BUILD, SUITE U-3
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035
Mailing Address - Country:US
Mailing Address - Phone:315-794-7825
Mailing Address - Fax:
Practice Address - Street 1:132 ALBANY STREET,
Practice Address - Street 2:IN THE ATWELL MILL PROF. BUILD, SUITE U-3
Practice Address - City:CAZENOVIA
Practice Address - State:NY
Practice Address - Zip Code:13035
Practice Address - Country:US
Practice Address - Phone:315-794-7825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029604225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist