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

KEZIAH SHAN

Active

KEZIAH SHAN is a Physical Therapy Assistant healthcare provider located in VERNON, Texas. NPI 1568841625 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · VERNON, TX

Registration Details

NPI Number
1568841625
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2015 (11.228644914593 yrs)
Last Updated
May 22, 2015
Licenses
PT42354 (CA)
1225098 (TX)

Practice Information

Address
2100 CENTER DR APT 112
VERNON, TX, 763844833
Browse TX providers · Browse ZIP 76384
Phone
9402610677
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in VERNON, TX

Name Credential NPI
TIMOTHY CARPENTER PT 1003195405
LISA PETROSS PT, DPT 1386123008
DR. DIVINA FRANCIA SAGUM PT, DPT 1831671783
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.