| Doctor Name: | MISS SHAYLYN KATHLEEN MCTEAGUE |
| NPI Number: | 1083046833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M |
| License Number: | P89597 |
| Business Practice Address: | 249 Eddie Dowling Hwy North Smithfield, RI - 028968213 |
| Business Phone Number: | 4017695611 |
| Business Fax Number: | |
| Mailing Address: | 148 Samuel Ave, PAWTUCKET |
| State: | RI |
| Postal Code: | 028601624 |
| Phone Number: | 8603891143 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2013 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | P89597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |