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

Katherine Shutler

Individual provider Physician Assistant · NPI 1780400630

Katherine Shutler is a Physician Assistant in Ithaca, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

953 Danby Rd
Ithaca, NY 14850-7002
Phone: (607) 274-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1780400630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address953 Danby Rd, Ithaca, NY 14850-7002

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