Doctor Name: | MR. SHAWN MONROE HIATT |
NPI Number: | 1114193323 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 34630 |
Business Practice Address: | 6719 Alvarado Rd #200 San Diego, CA - 921205270 |
Business Phone Number: | 6192290375 |
Business Fax Number: | 6192290305 |
Mailing Address: | 6719 Alvarado Rd, #200 SAN DIEGO |
State: | CA |
Postal Code: | 921205270 |
Phone Number: | 6192290375 |
Fax Number: | 6192290305 |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 34630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |