Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHASTA J ELLENBURG, PT
ActiveSHASTA J ELLENBURG, PT is a Physical Therapy Assistant healthcare provider located in OZARK, Alabama. NPI 1104113935 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OZARK, AL
Registration Details
- NPI Number
- 1104113935
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2011 (15.08502384023 yrs)
- Last Updated
- Jun 30, 2011
- License
-
PTH4042 (AL)
Practice Information
- Address
-
1254 ANDREWS AVEOZARK, AL, 363603712Browse AL providers · Browse ZIP 36360
- Phone
- 3344451380
- Fax
- 3344451489
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in OZARK, AL
| Name | Credential | NPI |
|---|---|---|
| JOSEPH MCDANIEL | PHYSICAL THERAPIST | 1720144462 |
| KRISTIN SUMLAR | P.T. | 1285776062 |
| MRS. ANGIE M TERRY | MS, PT | 1104048800 |
| ERIN EDMUNDSON KEEFER | DPT | 1023258811 |
| CHELSEA MILLS | PT | 1477872042 |
| ELIZABETH ANNE BALLARD | PT | 1003161167 |
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.