Richard Scott Shannon in Davie - Physical Therapy Assistant

Richard Scott Shannon - NPI 1861526634

Richard Scott Shannon is a Physical Therapy Assistant in Davie, Florida. Richard Scott Shannon practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Richard Scott Shannon is 1861526634. The last update date is 2007-07-08.

Richard Scott Shannon's current location address is 3672 Sw 61st Ave Apt 1, Davie, Florida. You can contact this provider via phone number 9548738673. The mailing address for Richard Scott Shannon is 3672 Sw 61st Ave Apt 1, Davie, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Scott Shannon
Address 3672 Sw 61st Ave Apt 1, Davie, Florida
Phone Number 9548738673
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1861526634
Provider Enumeration Date 2007-03-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3672 Sw 61st Ave Apt 1
City Davie
State Florida (FL)
Post Code 333142553
Phone Number 9548738673
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA 20061
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 Richard Scott Shannon

What is the unique identifier code issued to Richard Scott Shannon by the Centers for Medicare & Medicaid Services (CMS)?

The Richard Scott Shannon has been assigned the NPI (National Provider Identifier) 1861526634. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Richard Scott Shannon is physically located?

The Richard Scott Shannon is situated at the following address: 3672 Sw 61St Ave Apt 1, Davie, FL 333142553.

What is the Richard Scott Shannon's specialty and taxonomy code?

The Richard Scott Shannon's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1861526634 to Richard Scott Shannon?

The Richard Scott Shannon received its 1861526634 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.

When was the information related to Richard Scott Shannon most recently updated or refreshed?

The details pertaining to the Richard Scott Shannon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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