Doctor Name: | SHAWN WILLIAM EDGERLY |
NPI Number: | 1003837691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, ATC |
License Number: | |
Business Practice Address: | 9107 N Country Homes Blvd Ste 13 Spokane, WA - 992182070 |
Business Phone Number: | 5098382531 |
Business Fax Number: | |
Mailing Address: | 3523 W Providence Ave, SPOKANE |
State: | WA |
Postal Code: | 992052160 |
Phone Number: | 5098698048 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |