Organization Name: | SHANE DAVIS PHYSICAL THERAPY PC |
NPI Number: | 1679812747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANE DAVIS (PHYSICAL THERAPIST) |
Mailing Address: | 13040 State Route 12 Boonville |
State: | NY US |
Postal Code: | 133094942 |
Phone Number: | 3153584028 |
Fax Number: | 3153584186 |
NPI Enumeration Date: | 02/08/2013 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 022935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |