Individual
SHAVAUGHN E ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRLS-CTRS
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
19456 W WOODLANDS AVE, BUCKEYE, AZ 85326-5886
(254) 462-4133
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
AZ
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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