Provider Demographics
NPI:1760561922
Name:SCHAFFER, IRIT (MSPT MASTER OF SCIEN)
Entity Type:Individual
Prefix:
First Name:IRIT
Middle Name:
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:MSPT MASTER OF SCIEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 F SEMINARY DRIVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941
Mailing Address - Country:US
Mailing Address - Phone:415-389-9705
Mailing Address - Fax:415-389-9705
Practice Address - Street 1:2182 GREENWICH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123
Practice Address - Country:US
Practice Address - Phone:415-345-8130
Practice Address - Fax:415-389-9705
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT127790OtherBLUE SHIELD