Susan Shanks West is a Pediatrics in Gray, Tennessee. Susan Shanks West practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Shanks West is 1376676635. The last update date is 2007-07-08.
Susan Shanks West's current location address is 116 Lazy Ln, Gray, Tennessee. You can contact this provider via phone number 4234773090 and fax number 4234774761. The mailing address for Susan Shanks West is 116 Lazy Ln, Gray, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Shanks West |
|---|---|
| Address | 116 Lazy Ln, Gray, Tennessee |
| Phone Number | 4234773090 |
| Fax Number | 4234774761 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1376676635 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 116 Lazy Ln |
|---|---|
| City | Gray |
| State | Tennessee (TN) |
| Post Code | 376154272 |
| Phone Number | 4234773090 |
| Fax Number | 4234774761 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1163 |
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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 provider identifier assigned to Susan Shanks West?
The Susan Shanks West has been issued the NPI (National Provider Identifier) 1376676635 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan Shanks West's facilities are situated?
The facilities of Susan Shanks West are physically located at the following address: 116 Lazy Ln, Gray, TN, 376154272.
What is Susan Shanks West's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Shanks West is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376676635 to Susan Shanks West?
The Centers for Medicare & Medicaid Services assigned the 1376676635 to Susan Shanks West on 2007-03-14.
When was the information pertaining to Susan Shanks West most recently updated or revised?
The details related to Susan Shanks West, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY