Shannon Kay Garrity in Saint Paul - Exercise & Sports
Shannon Kay Garrity - NPI 1912196569
Shannon Kay Garrity is a Exercise & Sports in Saint Paul, Minnesota. Shannon Kay Garrity practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Shannon Kay Garrity is 1912196569. The last update date is 2014-06-18.
Shannon Kay Garrity's current location address is 2388 University Ave W, Saint Paul, Minnesota. You can contact this provider via phone number 6127038589. The mailing address for Shannon Kay Garrity is 2388 University Ave W, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Kay Garrity |
|---|---|
| Address | 2388 University Ave W, Saint Paul, Minnesota |
| Phone Number | 6127038589 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1912196569 |
|---|---|
| Provider Enumeration Date | 2007-10-19 |
| Last Updated Date | 2014-06-18 |
Provider Mailing Address Detail
| Address | 2388 University Ave W |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551141769 |
| Phone Number | 6127038589 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
| Licence No | 4716 |
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Definition: A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi |
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What is the unique 10-digit identifier code issued to Shannon Kay Garrity by the Centers for Medicare & Medicaid Services?
The Shannon Kay Garrity has been assigned the NPI (National Provider Identifier) 1912196569 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shannon Kay Garrity is geographically located?
The Shannon Kay Garrity is physically situated at the following location: 2388 University Ave W, Saint Paul, MN, 551141769.
What is the area of specialization for Shannon Kay Garrity, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon Kay Garrity is Exercise & Sports, and the corresponding taxonomy code that categorizes this area of expertise is 103Te1100X.
On what date did the Shannon Kay Garrity receive its 1912196569 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Kay Garrity was assigned its 1912196569 by the Centers for Medicare & Medicaid Services on 2007-10-19.
As of what date were the Shannon Kay Garrity's details last updated?
The information pertaining to the Shannon Kay Garrity, including its address, specialty, and other details, was most recently updated on 2014-06-18.
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