Doctor Name: | MR. SHAWN GLENN MOEHRING |
NPI Number: | 1619102621 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT, DIP. MDT, OCS |
License Number: | PT-1075 |
Business Practice Address: | 927 E Polston Ave Suite 201 Post Falls, ID - 838549811 |
Business Phone Number: | 2087712939 |
Business Fax Number: | |
Mailing Address: | 927 E Polston Ave, Suite 201 POST FALLS |
State: | ID |
Postal Code: | 838549811 |
Phone Number: | 2087712939 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 06/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-1075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |