Doctor Name: | MRS. SHANNA ANN MUSICK |
NPI Number: | 1952434227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5344 |
Business Practice Address: | 19250 Sw 65th Ave Suite 125 Tualatin, OR - 970627452 |
Business Phone Number: | 5036921670 |
Business Fax Number: | 5036921669 |
Mailing Address: | 19250 Sw 65th Ave, Suite 125 TUALATIN |
State: | OR |
Postal Code: | 970627452 |
Phone Number: | 5036921670 |
Fax Number: | 5036921669 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 10/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |