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

SHAWN VAN DECKER, PTA, OPTA, CPT

Active

SHAWN VAN DECKER, PTA, OPTA, CPT is a Sports Medicine (PM&R) healthcare provider located in MIDLOTHIAN, Virginia. NPI 1861032427 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · MIDLOTHIAN, VA

Registration Details

NPI Number
1861032427
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2020 (6.6246178827769 yrs)
Last Updated
Jan 13, 2020
License
2306603530 (VA)

Practice Information

Address
611 WATKINS CENTRE PKWY
MIDLOTHIAN, VA, 231144404
Browse VA providers · Browse ZIP 23114
Phone
8043258822
Primary Specialty
Sports Medicine (PM&R)
2081S0010X

Other Sports Medicine (PM&R) Providers in MIDLOTHIAN, VA

Name Credential NPI
ROBYN WILLHIDE LOWRY PT, MSPT 1417597956
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.