Elise Blair Shevenell in Boston - Physical Therapist
Elise Blair Shevenell - NPI 1790887438
Elise Blair Shevenell is a Physical Therapist in Boston, Massachusetts. Elise Blair Shevenell practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Elise Blair Shevenell is 1790887438. The last update date is 2007-07-08.
Elise Blair Shevenell's current location address is 15 Court Sq, Boston, Massachusetts. You can contact this provider via phone number 6177424897 and fax number 6177424899. The mailing address for Elise Blair Shevenell is 15 Court Sq, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elise Blair Shevenell |
|---|---|
| Address | 15 Court Sq, Boston, Massachusetts |
| Phone Number | 6177424897 |
| Fax Number | 6177424899 |
| Sole Proprietor | Y |
| Credentials | MS, PT |
NPI Number Detail
| NPI Number | 1790887438 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Court Sq |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21082503 |
| Phone Number | 6177424897 |
| Fax Number | 6177424899 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 3804 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y65801 | MA | BLUE CROSS - BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Elise Blair Shevenell by the Centers for Medicare & Medicaid Services?
The Elise Blair Shevenell has been issued the NPI (National Provider Identifier) 1790887438 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Elise Blair Shevenell's physical address?
The Elise Blair Shevenell is physically located at 15 Court Sq, in the city of Boston, MA, with the postal code 21082503.
What is the Elise Blair Shevenell's specialty and taxonomy code?
The Elise Blair Shevenell's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790887438 to Elise Blair Shevenell?
The Centers for Medicare & Medicaid Services assigned the 1790887438 to Elise Blair Shevenell on 2006-09-02.
As of what date were the Elise Blair Shevenell's details last updated?
The information pertaining to the Elise Blair Shevenell, including its address, specialty, and other details, was most recently updated on 2007-07-08.