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

SHANNON RAE BALTHAZR, PTA

Active Sole Proprietor

SHANNON RAE BALTHAZR, PTA is a Occupational Therapist healthcare provider located in BRISTOL, Tennessee. NPI 1891869186 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BRISTOL, TN

Registration Details

NPI Number
1891869186
Provider Type
Individual
Gender
Female
NPI Issued
Nov 20, 2006 (19.689418734647 yrs)
Last Updated
Jul 8, 2007
License
3766 (TN)
Sole Proprietor
Yes

Practice Information

Address
1 MEDICAL PARK BLVD
BRISTOL, TN, 376207430
Browse TN providers · Browse ZIP 37620
Phone
4238444104
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in BRISTOL, TN

Name Credential NPI
PAMELA ORA WATSON PTA 1366515520
DAVID W JOHNSON PTA 1801969662
MS. TERESA WRIGHT JONES PTA 1972663045
ANDREA NICOLE DAVIS PTA 1558422972
MRS. VIKKI HARDOBY P.T.A 1275693830
SHERRY COX JONES PTA 1144434085
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.