Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN RUEZE HACKLEY, P.T.
ActiveMR. SHAWN RUEZE HACKLEY, P.T. is a Physical Therapy Assistant healthcare provider located in FORT BRAGG, California. NPI 1295923233 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT BRAGG, CA
Registration Details
- NPI Number
- 1295923233
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2007 (18.681208678248 yrs)
- Last Updated
- Dec 28, 2018
- License
-
PT14615 (CA)
Practice Information
- Address
-
501 CYPRESS STFORT BRAGG, CA, 954375429Browse CA providers · Browse ZIP 95437
- Phone
- 7079616191
- Fax
- 7079646213
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT BRAGG, CA
| Name | Credential | NPI |
|---|---|---|
| MR. LARRY D HINSON | R.P.T. | 1083617336 |
| DONNA LOUISE CRIKOS | RPT | 1891799797 |
| TAMMY GAIL PATRICK | — | 1063416915 |
| GEORGINA JONES | RPT | 1598769325 |
| MONALISA PEREZ | RPT | 1700844362 |
| SHERI LYNN WHITE-HACKLEY | PT | 1306098108 |
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.