Shanna Rae Gray is a Pediatrics in Shawnee, Oklahoma. Shanna Rae Gray practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shanna Rae Gray is 1750589081. The last update date is 2007-07-09.
Shanna Rae Gray's current location address is 4010 Blaine Rd, Shawnee, Oklahoma. You can contact this provider via phone number 4058332749. The mailing address for Shanna Rae Gray is 4010 Blaine Rd, Shawnee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanna Rae Gray |
|---|---|
| Address | 4010 Blaine Rd, Shawnee, Oklahoma |
| Phone Number | 4058332749 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPT |
NPI Number Detail
| NPI Number | 1750589081 |
|---|---|
| Provider Enumeration Date | 2007-07-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4010 Blaine Rd |
|---|---|
| City | Shawnee |
| State | Oklahoma (OK) |
| Post Code | 748041626 |
| Phone Number | 4058332749 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT1801 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the unique identifier code issued to Shanna Rae Gray by the Centers for Medicare & Medicaid Services?
The Shanna Rae Gray has been assigned the NPI (National Provider Identifier) 1750589081. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shanna Rae Gray is geographically located?
The Shanna Rae Gray is physically situated at the following location: 4010 Blaine Rd, Shawnee, OK, 748041626.
What is Shanna Rae Gray's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shanna Rae Gray is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did Shanna Rae Gray receive its 1750589081 assignment from the Centers for Medicare & Medicaid Services?
The Shanna Rae Gray was assigned its 1750589081 on 2007-07-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shanna Rae Gray most recently updated or revised?
The details related to Shanna Rae Gray, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.