Provider Demographics
NPI:1891815817
Name:SCHIFF, SHIRA RINA (MA ATC)
Entity Type:Individual
Prefix:
First Name:SHIRA
Middle Name:RINA
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:MA ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3060
Mailing Address - Country:US
Mailing Address - Phone:248-544-6866
Mailing Address - Fax:
Practice Address - Street 1:4200 ANDOVER RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-2000
Practice Address - Country:US
Practice Address - Phone:248-341-5561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer