Doctor Name: | SHAVON A CONERLY |
NPI Number: | 1689869174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PTH5127 |
Business Practice Address: | 330 Ridge Way Flowood, MS - 392323306 |
Business Phone Number: | 7692300605 |
Business Fax Number: | 7692300606 |
Mailing Address: | 800 Crescent Centre Dr, Suite 600 FRANKLIN |
State: | TN |
Postal Code: | 370677269 |
Phone Number: | 6156560379 |
Fax Number: | 6152219054 |
NPI Enumeration Date: | 09/08/2007 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH5127 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
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 |