Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE STOVALL, RPT
ActivePhysical Therapy Assistant · ARDMORE, OK
Registration Details
- NPI Number
- 1205929064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.579332298305 yrs)
- Last Updated
- Sep 22, 2009
- License
-
2905 (OK)
Practice Information
- Address
-
1405 4TH AVE NW # 296ARDMORE, OK, 734012708Browse OK providers · Browse ZIP 73401
- Phone
- 5807954768
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ARDMORE, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL LYNN ENKOJI | PT | 1922007715 |
| MRS. AMBER LYNN MCCULLERS | P.T. | 1902805799 |
| JEFFERY S CLEMONS | PT | 1639186943 |
| AMY E THOMPSON | PT | 1376550780 |
| MR. JIM LEE PITMAN | PHYSICAL THERAPIST | 1215090105 |
| MRS. JERI ANN GILL | PHYSICAL THERAPIST | 1649333527 |
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.