Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN D AXTEN, PT,CST-D
Active Sole ProprietorPhysical Therapy Clinic · BEND, OR
Registration Details
- NPI Number
- 1922158377
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2007 (19.277252069051 yrs)
- Last Updated
- Jun 19, 2024
- Licenses
-
WAPT0000574 (WA)01557 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20360 EMPIRE AVE # B-9ABEND, OR, 977035709Browse OR providers · Browse ZIP 97703
- Phone
- 3606077226
- Fax
- 5417069330
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
- Additional Specialty
- Physical Therapy Clinic
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.