Katina Marie Shockley in Marcus Hook - Physical Therapy Assistant

Katina Marie Shockley - NPI 1093912784

Katina Marie Shockley is a Physical Therapy Assistant in Marcus Hook, Pennsylvania. Katina Marie Shockley practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Katina Marie Shockley is 1093912784. The last update date is 2009-09-29.

Katina Marie Shockley's current location address is 2 W 10th St, Marcus Hook, Pennsylvania. You can contact this provider via phone number 6108598850 and fax number 6108597876. The mailing address for Katina Marie Shockley is 2 W 10th St, Marcus Hook, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Katina Marie Shockley
Address 2 W 10th St, Marcus Hook, Pennsylvania
Phone Number 6108598850
Fax Number 6108597876
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1093912784
Provider Enumeration Date 2007-06-27
Last Updated Date 2009-09-29

Provider Mailing Address Detail

Address 2 W 10th St
City Marcus Hook
State Pennsylvania (PA)
Post Code 190614513
Phone Number 6108598850
Fax Number 6108597876

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No J20000544
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Katina Marie Shockley

What is the unique provider identifier assigned to Katina Marie Shockley?

The Katina Marie Shockley has been issued the NPI (National Provider Identifier) 1093912784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Katina Marie Shockley's facilities are geographically located?

The facilities of Katina Marie Shockley are physically situated at the following location: 2 W 10Th St, Marcus Hook, PA, 190614513.

What is the Katina Marie Shockley's specialty and taxonomy code?

The Katina Marie Shockley's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.

On what date did the Katina Marie Shockley receive its 1093912784 assignment from the Centers for Medicare & Medicaid Services?

The Katina Marie Shockley was assigned its 1093912784 by the Centers for Medicare & Medicaid Services on 2007-06-27.

When was the Katina Marie Shockley's information last updated?

The Katina Marie Shockley's information was last updated on 2009-09-29.

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