Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANYA SHADLE, PT, DPT
ActivePhysical Therapy Assistant · GOLD CANYON, AZ
Registration Details
- NPI Number
- 1215452719
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2017 (8.7453992119216 yrs)
- Last Updated
- Aug 7, 2017
- License
-
13166 (AZ)
Practice Information
- Address
-
6788 S KINGS RANCH RD STE 4GOLD CANYON, AZ, 851182928Browse AZ providers · Browse ZIP 85118
- Phone
- 4809821909
- Fax
- 4809823002
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GOLD CANYON, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL HARVEY CHURCHMAN | PT | 1538157193 |
| MRS. DANIELLE BAILEY | — | 1568585339 |
| GRACE MARIE HANNA | DPT | 1144833864 |
| DR. JACOB MITCHELL BOEHME | DPT | 1952987190 |
| AMBER BRATCHER | DPT | 1144907742 |
| KIMBERLY DANG | DPT | 1720842297 |
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.