Individual
MRS. SHAWN GRAY ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Mailing address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1122
S.C. LICENSE
SC
Enumeration date
10/15/2010
Last updated
10/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us