Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Rose Shutt, PTA

Individual provider Physical Therapy Assistant · NPI 1306267737

Crystal Rose Shutt, PTA is a Physical Therapy Assistant in Vancouver, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2014.

Licensed in
OR, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

400 E 33rd St
Vancouver, WA 98663-2238
Phone: (360) 696-2561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P160321635 (WA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 08925 (OR)

Record details

NPI number1306267737
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 3, 2014
Last updated in NPPESJanuary 3, 2014

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