Individual
KEAGAN SCOTT SHILLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14775 N KIMO CT STE A, RATHDRUM, ID 83858-8762
(208) 687-9240
(208) 687-9241
Mailing address
14775 N KIMO CT STE A, RATHDRUM, ID 83858-8762
(208) 687-9240
(208) 687-9241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6584
ID
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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