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

SHAW STANFORD DICKERSON, DPT

Active

SHAW STANFORD DICKERSON, DPT is a Physical Therapy Assistant healthcare provider located in GALLATIN, Tennessee. NPI 1356878946 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GALLATIN, TN

Registration Details

NPI Number
1356878946
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2017 (9.2468293495613 yrs)
Last Updated
Jan 13, 2022
License
11312 (TN)

Practice Information

Address
940 MEMORY LN STE 103
GALLATIN, TN, 370667162
Browse TN providers · Browse ZIP 37066
Phone
6154515158
Fax
6154514033
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GALLATIN, TN

Name Credential NPI
MICHELLE J LINEBERRY PT - MHS 1104886456
ANDREA MICHELLE DYER DPT 1801857826
DOUGLAS STEWART PERRY MPT 1104887074
MS. LUCINDA J ALINIKOFF BSPT 1700847456
STEVEN TODD FREEMAN P.T. 1942379169
MR. HARVEY MICHAEL LEE PT 1699823203
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.