Provider Demographics
NPI:1316731987
Name:SHELLER, LAURA (RRT CPFT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SHELLER
Suffix:
Gender:
Credentials:RRT CPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:196 W SPROUL RD STE 207
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2045
Mailing Address - Country:US
Mailing Address - Phone:610-604-4400
Mailing Address - Fax:610-328-5931
Practice Address - Street 1:196 W SPROUL RD STE 207
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2045
Practice Address - Country:US
Practice Address - Phone:610-604-4400
Practice Address - Fax:610-328-5931
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAYM003655L2279P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Function Technologist