Provider Demographics
NPI:1467292557
Name:SHAH, SHIKHA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SHIKHA
Middle Name:
Last Name:SHAH
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 1:1717 5TH AVE N APT 204
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2977
Mailing Address - Country:US
Mailing Address - Phone:857-832-1960
Mailing Address - Fax:
Practice Address - Street 1:7900 SE 28TH ST STE 102
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2970
Practice Address - Country:US
Practice Address - Phone:206-232-9045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61523787225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist