Shannon Graul in Round Rock - Physical Therapy Assistant

Shannon Graul - NPI 1720127616

Shannon Graul is a Physical Therapy Assistant in Round Rock, Texas. Shannon Graul practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Shannon Graul is 1720127616. The last update date is 2007-07-08.

Shannon Graul's current location address is 1208-q North Ih-35, Round Rock, Texas. You can contact this provider via phone number 5123107665 and fax number 5123109228. The mailing address for Shannon Graul is 1208-q North Ih-35, Round Rock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Graul
Address 1208-q North Ih-35, Round Rock, Texas
Phone Number 5123107665
Fax Number 5123109228
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1720127616
Provider Enumeration Date 2007-02-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1208-q North Ih-35
City Round Rock
State Texas (TX)
Post Code 78681
Phone Number 5123107665
Fax Number 5123109228

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2053978
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0031DG TX BLUE CROSS BLUE SHIELD

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FAQs about Shannon Graul

What is the unique identification code assigned to Shannon Graul by the Centers for Medicare & Medicaid Services?

The Shannon Graul has been issued the NPI (National Provider Identifier) 1720127616. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Shannon Graul's facilities are geographically located?

The facilities of Shannon Graul are physically situated at the following location: 1208-Q North Ih-35, Round Rock, TX, 78681.

What is Shannon Graul's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shannon Graul is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.

On what date did Shannon Graul receive its 1720127616 assignment from the Centers for Medicare & Medicaid Services?

The Shannon Graul was assigned its 1720127616 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Shannon Graul most recently updated or revised?

The information pertaining to Shannon Graul, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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