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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHAWN EDYVEAN, PT

Active

MR. SHAWN EDYVEAN, PT is a Physical Therapy Assistant healthcare provider located in IRONWOOD, Michigan. NPI 1285824581 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · IRONWOOD, MI

Registration Details

NPI Number
1285824581
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2007 (19.037595802501 yrs)
Last Updated
May 17, 2012
Licenses
5501010780 (MI)
9719-024 (WI)

Practice Information

Address
1310 E CLOVERLAND DR
IRONWOOD, MI, 499381606
Browse MI providers · Browse ZIP 49938
Phone
9069324200
Fax
9069324201
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in IRONWOOD, MI

Name Credential NPI
DONALD W DUGAN PT 1306937404
MARIE ANN LINDQUIST PT 1821156514
MS. NANCY ANN LEVRA P.T. 1497928667
MRS. KATHLEEN MARIE WALESEWICZ PHYSICAL THERAPIST 1275706137
DR. BRIANNE ALLYSE LEHRKAMP PT, DPT 1669628681
MONICA MCCARTER 1912290339
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.