Doctor Name: | SHANNON GORRIE |
NPI Number: | 1922452754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 1271327 |
Business Practice Address: | 11481 Toepperwein Rd 1201 Live Oak, TX - 782333145 |
Business Phone Number: | 2105998903 |
Business Fax Number: | |
Mailing Address: | 4808 Edgewater Dr, ROWLETT |
State: | TX |
Postal Code: | 750884110 |
Phone Number: | 9729550815 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2016 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1271327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |