Individual
DR. SHANTAY SABIN MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-1437
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-1437
(541) 963-1890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5847
OR
Other
Enumeration date
07/17/2007
Last updated
10/18/2017
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