Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON STAFFORD
ActiveSHANNON STAFFORD is a Physical Therapist Assistant healthcare provider located in SUMMERVILLE, South Carolina. NPI 1093301103 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · SUMMERVILLE, SC
Registration Details
- NPI Number
- 1093301103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2020 (5.6788688809023 yrs)
- Last Updated
- Dec 14, 2020
- License
-
73192 (SC)
Practice Information
- Address
-
10125 DORCHESTER RD STE A7SUMMERVILLE, SC, 294858548Browse SC providers · Browse ZIP 29485
- Phone
- 8435209934
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in SUMMERVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. JEANETTE CALANDRA HILL-FREDERICK | HAIRLOSS SPECIALIST | 1639517956 |
| KIMBERLY MORRISON | — | 1528448206 |
| TONYA TOMIKA JENKINS | CERTIFIED HAIR LOSS | 1639752058 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.