Provider Demographics
NPI:1821361932
Name:SHELDON, PAULA KATHLEEN (LMT)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:KATHLEEN
Last Name:SHELDON
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 1:1114 FLORIDA AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-4331
Mailing Address - Country:US
Mailing Address - Phone:727-772-1966
Mailing Address - Fax:727-772-0096
Practice Address - Street 1:1114 FLORIDA AVE
Practice Address - Street 2:SUITE C
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-4331
Practice Address - Country:US
Practice Address - Phone:727-772-1966
Practice Address - Fax:727-772-0096
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA48074225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist