Provider Demographics
NPI:1841186004
Name:SHINE THROUGH STRENGTH PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:SHINE THROUGH STRENGTH PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENSINE SHINE
Authorized Official - Middle Name:CANULLAS
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:512-659-2122
Mailing Address - Street 1:402 MAIS DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-3046
Mailing Address - Country:US
Mailing Address - Phone:512-659-2122
Mailing Address - Fax:
Practice Address - Street 1:402 MAIS DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-3046
Practice Address - Country:US
Practice Address - Phone:512-659-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy