Doctor Name: | SHANNON MOATS |
NPI Number: | 1851771216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT/DPT |
License Number: | 20341 |
Business Practice Address: | 209 County Rd North Falmouth, MA - 025562021 |
Business Phone Number: | 5085634042 |
Business Fax Number: | |
Mailing Address: | 1431 Iyannough Rd, Unit 2 CENTERVILLE |
State: | MA |
Postal Code: | 026321989 |
Phone Number: | 3157239047 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2015 |
NPI Last Update Date: | 06/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |