Doctor Name: | MRS. SHANNON C ARDIS |
NPI Number: | 1912098021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 4136 |
Business Practice Address: | 401 N Main St Suite B Hemingway, SC - 295549191 |
Business Phone Number: | 8435584830 |
Business Fax Number: | 8435587752 |
Mailing Address: | 401 2nd Loop Rd Ste A, FLORENCE |
State: | SC |
Postal Code: | 295052815 |
Phone Number: | 8436693665 |
Fax Number: | 8436693706 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 08/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |