Provider Demographics
NPI:1740613777
Name:NAJERA, SHAY K (PT)
Entity Type:Individual
Prefix:
First Name:SHAY
Middle Name:K
Last Name:NAJERA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHAY
Other - Middle Name:K
Other - Last Name:ENSIGN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 PACIFIC AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-4442
Mailing Address - Country:US
Mailing Address - Phone:253-274-4600
Mailing Address - Fax:
Practice Address - Street 1:4459 SE MILE HILL DR
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-3908
Practice Address - Country:US
Practice Address - Phone:360-769-5944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007920225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist