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Search › Pennsylvania › 2251X0800X

Shaderre Lassiter

NPI 1508737073 · on the registry since 2025

Practice

Address
182 Butler St
Wilkes Barre, PA 18702
Phone
(888) 510-2095
Organisation at this address
Elite Spine And Sports Physical Therapy
Elite Spine And Sports Physical Therapy Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
2251X0800X
2251X0800X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania