Shane Sullivan is a Sports in Scottsdale, Arizona. Shane Sullivan practices all healthcare services and medical treatments related to Sports. The NPI Number for Shane Sullivan is 1942371216. The last update date is 2013-02-18.
Shane Sullivan's current location address is 8776 E Shea Blvd, Scottsdale, Arizona. You can contact this provider via phone number 4805843334 and fax number 4802729369. The mailing address for Shane Sullivan is 8776 E Shea Blvd, Scottsdale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Sullivan |
|---|---|
| Address | 8776 E Shea Blvd, Scottsdale, Arizona |
| Phone Number | 4805843334 |
| Fax Number | 4802729369 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1942371216 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2013-02-18 |
Provider Mailing Address Detail
| Address | 8776 E Shea Blvd |
|---|---|
| City | Scottsdale |
| State | Arizona (AZ) |
| Post Code | 852606629 |
| Phone Number | 4805843334 |
| Fax Number | 4802729369 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 6673 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290315 | AZ | -- |
Post Comment/ Review Below
What is the Shane Sullivan's unique identification number?
The Shane Sullivan has been assigned the NPI (National Provider Identifier) Number 1942371216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shane Sullivan is geographically located?
The Shane Sullivan is physically situated at the following location: 8776 E Shea Blvd, Scottsdale, AZ, 852606629.
What is Shane Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shane Sullivan is Sports, and the taxonomy code that classifies this field of practice is 2251S0007X.
When did the Shane Sullivan receive its 1942371216?
The Shane Sullivan was issued its 1942371216 on 2006-11-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Shane Sullivan last refreshed?
The information related to the Shane Sullivan, including its address, specialty, and other relevant details, was last updated on 2013-02-18.
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