Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON STUYVESANT, PTA
Active Sole ProprietorSHANNON STUYVESANT, PTA is a Physical Therapy Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1104215961 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1104215961
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2015 (11.574239687895 yrs)
- Last Updated
- Jan 16, 2015
- License
-
A-62 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5123 JUAN TABO BLVD NEALBUQUERQUE, NM, 871112672Browse NM providers · Browse ZIP 87111
- Phone
- 5052923333
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MR. BARRY SCOTT MICHAELSON | MPT | 1528066883 |
| LINDA KEAHEY-OBERDORFER | PT | 1992791784 |
| MRS. JUDI ANN KIL | P.T. | 1942282678 |
| JEFFREY M KLOER | P.T. | 1043298573 |
| TONY L RUSK | P.T. | 1689652117 |
| RICK S MURDOCH | PT | 1760461479 |
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.