Individual
SHAWNA R HATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
155 RESTON PL, GASSAWAY, WV 26624-9356
(304) 364-9191
(304) 364-9193
Mailing address
155 RESTON PL, GASSAWAY, WV 26624-9356
(304) 364-9191
(304) 364-9193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002410
WV
Other
Enumeration date
06/04/2006
Last updated
01/27/2017
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