Doctor Name: | MR. SHANNON MICHAEL WALTON |
NPI Number: | 1932216553 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 10570 |
Business Practice Address: | 7 Alfred St Suite 307 Woburn, MA - 018011976 |
Business Phone Number: | 7819385387 |
Business Fax Number: | 7815035309 |
Mailing Address: | 88 Peters Pond Drive, DRACUT |
State: | MA |
Postal Code: | 01826 |
Phone Number: | 7819385387 |
Fax Number: | 7815035039 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10570 |
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 |