Doctor Name: | SHAWNA SHOCKEY LAYNE |
NPI Number: | 1619095346 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.T. |
License Number: | PT009103 |
Business Practice Address: | 408 Washington St South Point, OH - 456809660 |
Business Phone Number: | 9106895071 |
Business Fax Number: | 8883988146 |
Mailing Address: | 408 Washington St, SOUTH POINT |
State: | OH |
Postal Code: | 456809660 |
Phone Number: | 9106895071 |
Fax Number: | 8883988146 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT009103 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |