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

Shantel Jay-Peterson, ITDS

Individual provider Developmental Therapist · NPI 1114160470

Shantel Jay-Peterson, ITDS is a Developmental Therapist in Fort Walton Beach, Florida. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2104 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1316
Phone: (850) 862-3728
Fax: (850) 862-6270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1114160470
Entity typeIndividual (Type 1)
GenderFemale
Credentials ITDS
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESApril 15, 2009

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