Provider Demographics
NPI:1972269660
Name:SHAY, CATHLEEN T (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:T
Last Name:SHAY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5035 HARVEY RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8824
Mailing Address - Country:US
Mailing Address - Phone:610-248-9820
Mailing Address - Fax:
Practice Address - Street 1:24 W 21ST ST STE 100
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1268
Practice Address - Country:US
Practice Address - Phone:610-262-1662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT026243225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist