Doctor Name: | DR. ROBERT WILLARD SHINGLETON |
NPI Number: | 1639228927 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 275437-2401 |
Business Practice Address: | 1770 Meadow Downs Way Cottonwood Heights, UT - 841212963 |
Business Phone Number: | 8017936775 |
Business Fax Number: | |
Mailing Address: | 1770 Meadow Downs Way, COTTONWOOD HEIGHTS |
State: | UT |
Postal Code: | 841212963 |
Phone Number: | 8017936775 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 10/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | 275437-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |