Provider Demographics
NPI:1619564911
Name:CAHN, SHELLEY REGINA (DPT)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:REGINA
Last Name:CAHN
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 1:48 ELTING AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-1933
Mailing Address - Country:US
Mailing Address - Phone:917-747-2547
Mailing Address - Fax:
Practice Address - Street 1:48 ELTING AVE
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1933
Practice Address - Country:US
Practice Address - Phone:917-747-2547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist