Provider Demographics
NPI:1598292245
Name:SHERVINSKIE, CHELSEA (DPT)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:SHERVINSKIE
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 1:7485 WESTBRANCH HWY
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-6812
Mailing Address - Country:US
Mailing Address - Phone:570-768-4610
Mailing Address - Fax:570-768-4615
Practice Address - Street 1:7485 WESTBRANCH HWY
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-6812
Practice Address - Country:US
Practice Address - Phone:570-768-4610
Practice Address - Fax:570-768-4615
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-12
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26949225100000X
WVPT003782225100000X
NCP17448225100000X
PAPT026010225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist