Doctor Name: | TESSA SHUCK |
NPI Number: | 1922425917 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2305208317 |
Business Practice Address: | 2600 Barracks Rd Charlottesville, VA - 229012271 |
Business Phone Number: | 4349634198 |
Business Fax Number: | |
Mailing Address: | 4554 Sunrise Drive, BEMUS POINT |
State: | NY |
Postal Code: | 14712 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305208317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |